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1669505855
MICHELE LEA THOMASON
MODESTO, CA
NPI
1669505855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA psy21141)
Enumeration Date
2007-03-14
Last Update Date
2007-08-31
Business Address
Dr. MICHELE LEA THOMASON Ph.D.
1620 CUMMINS DR
MODESTO, CA 95358-6400
Phone number: 209-595-9735
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Mailing Address
Dr. MICHELE LEA THOMASON Ph.D.
4121 DALE RD APT 27
MODESTO, CA 95356-8601
Phone number: 209-595-9735
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