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1164512604
SANDRA LYNN CANTRELL
MODESTO, CA
NPI
1164512604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC39505)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
Ms. SANDRA LYNN CANTRELL LMFT
948 11TH ST STE 11B
MODESTO, CA 95354-2339
Phone number: 209-614-8226
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Mailing Address
Ms. SANDRA LYNN CANTRELL LMFT
PO BOX 323
HILMAR, CA 95324-0323
Phone number: 209-667-0396
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