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1265858963
DANIELLE MATA
STOCKTON, CA
NPI
1265858963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-03-05
Last Update Date
2014-03-05
Business Address
-- DANIELLE MATA
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8867
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Mailing Address
-- DANIELLE MATA
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number:
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