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1285489567
LORRAINE DENISE CUSTINO
STOCKTON, CA
NPI
1285489567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 99135)
Enumeration Date
2024-04-20
Last Update Date
2024-04-20
Business Address
LORRAINE DENISE CUSTINO
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8842
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Mailing Address
LORRAINE DENISE CUSTINO
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8842
Copy
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