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1104950203
MARK MORRISON
MODESTO, CA
NPI
1104950203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA ASW19823)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
-- MARK MORRISON
707 14TH ST
MODESTO, CA 95354-2506
Phone number: 209-525-6041
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Mailing Address
-- MARK MORRISON
1521 HAMILTON AVE
MODESTO, CA 95350-2034
Phone number:
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