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1114430865
TERESA BYRD MENDOZA
MODESTO, CA
NPI
1114430865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA r1243640217)
Enumeration Date
2017-11-15
Last Update Date
2017-11-15
Business Address
TERESA BYRD MENDOZA
3125 MCHENRY AVE STE D
MODESTO, CA 95350-1451
Phone number: 209-523-6910
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Mailing Address
TERESA BYRD MENDOZA
3125 MCHENRY AVE STE D
MODESTO, CA 95350-1451
Phone number: 209-523-6910
Copy
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