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1396569596
DYANE BURGOS MEDINA
ELK GROVE, CA
NPI
1396569596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 112033)
Enumeration Date
2024-11-13
Last Update Date
2024-11-13
Business Address
Ms. DYANE BURGOS MEDINA LCSW
10053 E TARON DR
ELK GROVE, CA 95757-8161
Phone number: 209-403-6722
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Mailing Address
Ms. DYANE BURGOS MEDINA LCSW
10053 E TARON DR
ELK GROVE, CA 95757-8161
Phone number: 209-403-6722
Copy
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