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1346870078
JEANNE CARLISLE
MODESTO, CA
NPI
1346870078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW25680)
Enumeration Date
2020-01-22
Last Update Date
2020-01-22
Business Address
JEANNE CARLISLE
4368 SPYRES WAY
MODESTO, CA 95356-9259
Phone number: 209-578-6300
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Mailing Address
JEANNE CARLISLE
4368 SPYRES WAY
MODESTO, CA 95356-9259
Phone number: 209-578-6300
Copy
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