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1437679321
STEPHANIE LITJENS MOODY
SAN CARLOS, CA
NPI
1437679321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 100124)
Enumeration Date
2017-06-22
Last Update Date
2022-07-21
Business Address
STEPHANIE LITJENS MOODY
961 LAUREL ST STE 208
SAN CARLOS, CA 94070-3954
Phone number: 650-394-5339
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Mailing Address
STEPHANIE LITJENS MOODY
961 LAUREL ST
SAN CARLOS, CA 94070-3949
Phone number: 650-394-5339
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