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1528189107
BONNIE L MCCLELLAN
STOCKTON, CA
NPI
1528189107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
Ms. BONNIE L MCCLELLAN
620 N AURORA ST STE 1
STOCKTON, CA 95202-2276
Phone number: 209-953-7303
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Mailing Address
Ms. BONNIE L MCCLELLAN
2107 STEWART ST
STOCKTON, CA 95205-3227
Phone number: 209-953-7303
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