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1336612688
CHANTELLE SUZANNE ODISHO
MODESTO, CA
NPI
1336612688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 128823)
Enumeration Date
2019-01-09
Last Update Date
2022-06-01
Business Address
CHANTELLE SUZANNE ODISHO
4700 ENTERPRISE WAY
MODESTO, CA 95356
Phone number: 209-550-6073
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Mailing Address
CHANTELLE SUZANNE ODISHO
4700 ENTERPRISE WAY
MODESTO, CA 95356
Phone number: 209-550-6073
Copy
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