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1154679173
ROUNGTHIP BACCAM
STOCKTON, CA
NPI
1154679173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 51991)
Enumeration Date
2012-08-23
Last Update Date
2012-08-23
Business Address
Ms. ROUNGTHIP BACCAM MA
2431 W MARCH LN 210
STOCKTON, CA 95207-8211
Phone number: 209-601-6579
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Mailing Address
Ms. ROUNGTHIP BACCAM MA
2431 W MARCH LN 210
STOCKTON, CA 95207-8211
Phone number: 209-601-6579
Copy
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