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1487142121
LYNETTE REDAL STIME
MODESTO, CA
NPI
1487142121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS12504)
Enumeration Date
2018-04-27
Last Update Date
2018-04-27
Business Address
LYNETTE REDAL STIME
1213 COFFEE RD STE P
MODESTO, CA 95355-4229
Phone number: 209-527-8943
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Mailing Address
LYNETTE REDAL STIME
1213 COFFEE RD STE P
MODESTO, CA 95355-4229
Phone number: 209-527-8943
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