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1376962308
JACKELIN CHAVEZ RUEDA
LODI, CA
NPI
1376962308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2014-04-07
Last Update Date
2022-11-22
Business Address
JACKELIN CHAVEZ RUEDA
1920 TIENDA DR. #101
LODI, CA 95242
Phone number: 209-647-0398
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Mailing Address
JACKELIN CHAVEZ RUEDA
P.O. BOX 6779
STOCKTON, CA 95206
Phone number: 209-368-2532
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