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1528429057
PRISCILLA LUPITA KAVANAGH
STOCKTON, CA
NPI
1528429057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA 7094)
Enumeration Date
2016-03-10
Last Update Date
2023-12-28
Business Address
PRISCILLA LUPITA KAVANAGH LPCC
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 530-721-1169
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Mailing Address
PRISCILLA LUPITA KAVANAGH LPCC
1212 NORTH CALIFORNIA ST. TEAM D
STOCKTON, CA 95202
Phone number: 209-953-1030
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