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1306988316
MARIA MODESTA CARMICHAEL
COVINA, CA
NPI
1306988316
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Former Name
MARIA MODESTA DIGEORGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS23610)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
Mrs. MARIA MODESTA CARMICHAEL LCSW
535 S 2ND AVE
COVINA, CA 91723-3013
Phone number: 626-974-0770
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Mailing Address
Mrs. MARIA MODESTA CARMICHAEL LCSW
535 S 2ND AVE
COVINA, CA 91723-3013
Phone number: 626-974-0770
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