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1215450929
MAYRA LILIANA CARRIEDO
STOCKTON, CA
NPI
1215450929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-25
Last Update Date
2022-07-21
Business Address
MAYRA LILIANA CARRIEDO
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Phone number: 209-468-8661
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Mailing Address
MAYRA LILIANA CARRIEDO
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8661
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