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1174827695
LUCIE FREDERIQUE BORNMANN
MODESTO, CA
NPI
1174827695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 86772)
Enumeration Date
2010-12-23
Last Update Date
2015-05-26
Business Address
-- LUCIE FREDERIQUE BORNMANN M.S
101 POPLAR AVE
MODESTO, CA 95354-0509
Phone number: 209-550-5869
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Mailing Address
-- LUCIE FREDERIQUE BORNMANN M.S
101 POPLAR AVE
MODESTO, CA 95354-0509
Phone number:
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