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1366561912
KATRINA LYNN STOUGHTENBOROUGH
MODESTO, CA
NPI
1366561912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA 15445)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
-- KATRINA LYNN STOUGHTENBOROUGH MSW
1100 KANSAS AVE STE B
MODESTO, CA 95351-1596
Phone number: 209-558-8884
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Mailing Address
-- KATRINA LYNN STOUGHTENBOROUGH MSW
1100 KANSAS AVE STE B
MODESTO, CA 95351-1596
Phone number: 209-558-8884
Copy
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