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1154656908
SANDRA LEE PEREZ
MODESTO, CA
NPI
1154656908
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Former Name
SANDRA LEE HARRIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA LCS15520)
Enumeration Date
2009-10-13
Last Update Date
2012-01-12
Business Address
SANDRA LEE PEREZ LCSW
1510 FLORIDA AVE SUITE H
MODESTO, CA 95350-4437
Phone number: 209-574-1030
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Mailing Address
SANDRA LEE PEREZ LCSW
737 W CHILDS AVE
MERCED, CA 95341-6805
Phone number: 209-383-1848
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