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1487310496
KHOEUN CHHAN BAEZA
CLOVIS, CA
NPI
1487310496
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Former Name
KHOEUN SOK CHHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA LMFT111805)
Enumeration Date
2021-11-14
Last Update Date
2021-11-14
Business Address
KHOEUN CHHAN BAEZA
3802 DUNCAN AVE
CLOVIS, CA 93619-5174
Phone number: 559-917-0740
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Mailing Address
KHOEUN CHHAN BAEZA
3802 DUNCAN AVE
CLOVIS, CA 93619-5174
Phone number: 559-917-0740
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