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1447630736
TYACAMELLIA ALLRED
STOCKTON, CA
NPI
1447630736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-06-02
Last Update Date
2016-11-22
Business Address
-- TYACAMELLIA ALLRED
2495 W MARCH LN SUITE 125
STOCKTON, CA 95207-8251
Phone number: 209-465-1080
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Mailing Address
-- TYACAMELLIA ALLRED
2495 W MARCH LN SUITE 125
STOCKTON, CA 95207-8251
Phone number:
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