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1649785247
SUSANA ANGELICA MILLAN
MODESTO, CA
NPI
1649785247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 74496)
Enumeration Date
2017-12-05
Last Update Date
2017-12-05
Business Address
SUSANA ANGELICA MILLAN
4125 BANGS AVE
MODESTO, CA 95356-8713
Phone number: 209-557-2363
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Mailing Address
SUSANA ANGELICA MILLAN
4125 BANGS AVE
MODESTO, CA 95356-8713
Phone number: 209-557-2363
Copy
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