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1508282286
LAWRENCE SHADDIX
MODESTO, CA
NPI
1508282286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2014-03-05
Last Update Date
2014-03-05
Business Address
-- LAWRENCE SHADDIX
610 14TH ST
MODESTO, CA 95354-2505
Phone number: 209-524-4858
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Mailing Address
-- LAWRENCE SHADDIX
610 14TH ST
MODESTO, CA 95354-2505
Phone number: 209-524-4858
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