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1346301769
STEPHEN MOLLICA FORKINS
ANTIOCH, CA
NPI
1346301769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 19102)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- STEPHEN MOLLICA FORKINS LCSW
2213 BUCHANAN RD SUITE 203
ANTIOCH, CA 94509
Phone number: 925-779-5810
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Mailing Address
-- STEPHEN MOLLICA FORKINS LCSW
2213 BUCHANAN RD SUITE 203
ANTIOCH, CA 94509-4265
Phone number: 925-779-5810
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