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1417401035
LISA AGUILAR-FUENTES
MODESTO, CA
NPI
1417401035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 106508)
Enumeration Date
2016-08-11
Last Update Date
2024-06-27
Business Address
LISA AGUILAR-FUENTES LCSW
251 E HACKETT RD # R
MODESTO, CA 95358-9800
Phone number: 209-525-6201
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Mailing Address
LISA AGUILAR-FUENTES LCSW
251 E HACKETT RD
MODESTO, CA 95358-9800
Phone number: 209-558-3983
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