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1508491952
JESSICA LOURDES CASILLAS
DIAMOND SPRINGS, CA
NPI
1508491952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-03-05
Last Update Date
2020-03-05
Business Address
Ms. JESSICA LOURDES CASILLAS
4250 FOWLER LN STE 204
DIAMOND SPRINGS, CA 95619-9782
Phone number: 530-626-3105
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Mailing Address
Ms. JESSICA LOURDES CASILLAS
PO BOX 652
JACKSON, CA 95642-0652
Phone number: 209-256-5598
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