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1215791553
FAITH IVY GOUGH-FLEMING
WOODLAND, CA
NPI
1215791553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-02-07
Last Update Date
2024-02-07
Business Address
FAITH IVY GOUGH-FLEMING
814 COURT ST
WOODLAND, CA 95695-3517
Phone number: 530-207-0655
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Mailing Address
FAITH IVY GOUGH-FLEMING
814 COURT ST
WOODLAND, CA 95695-3517
Phone number: 530-207-0655
Copy
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