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1164085361
STEPHANIE ENRIQUEZ
UPLAND, CA
NPI
1164085361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-04-15
Last Update Date
2019-04-15
Business Address
STEPHANIE ENRIQUEZ
1260 E ARROW HWY
UPLAND, CA 91786-4982
Phone number: 909-949-4667
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Mailing Address
STEPHANIE ENRIQUEZ
1260 E ARROW HWY
UPLAND, CA 91786-4982
Phone number: 909-949-4667
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