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1417120767
BEVERLY M BREAKEY
LODI, CA
NPI
1417120767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC30755)
Enumeration Date
2008-04-08
Last Update Date
2008-04-08
Business Address
Ms. BEVERLY M BREAKEY LMFT
1420 W KETTLEMAN LN STE R
LODI, CA 95242
Phone number: 209-334-2053
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Mailing Address
Ms. BEVERLY M BREAKEY LMFT
1420 W KETTLEMAN LN STE R
LODI, CA 95242
Phone number: 209-334-2053
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