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1538287289
KATHLEEN MARIE SHAMP
MODESTO, CA
NPI
1538287289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 47366)
Enumeration Date
2007-03-27
Last Update Date
2022-01-14
Business Address
-- KATHLEEN MARIE SHAMP MFT
1501 CLAUS RD
MODESTO, CA 95355-9711
Phone number: 209-541-7169
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Mailing Address
-- KATHLEEN MARIE SHAMP MFT
PO BOX 576013
MODESTO, CA 95357-6013
Phone number: 209-541-7169
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