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1528555919
JODIE DIANNE ROSS MORDAUNT
SANTA CRUZ, CA
NPI
1528555919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 18806)
Enumeration Date
2018-04-20
Last Update Date
2018-09-05
Business Address
JODIE DIANNE ROSS MORDAUNT LCSW
104 WALNUT AVE STE 208
SANTA CRUZ, CA 95060
Phone number: 831-423-9444
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Mailing Address
JODIE DIANNE ROSS MORDAUNT LCSW
104 WALNUT AVE STE 208
SANTA CRUZ, CA 95060-3929
Phone number: 831-423-9444
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