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1659146371
GRACE KELLY WHITE
STOCKTON, CA
NPI
1659146371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA ASW113407)
Enumeration Date
2023-11-22
Last Update Date
2023-11-22
Business Address
GRACE KELLY WHITE ASW
1414 N CALIFORNIA ST FL 2
STOCKTON, CA 95202-1515
Phone number: 209-468-2385
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Mailing Address
GRACE KELLY WHITE ASW
5833 MORGAN PL UNIT 42
STOCKTON, CA 95219-4631
Phone number: 747-777-0246
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