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1700386760
MARY ELIZABETH SQUIRES
MODESTO, CA
NPI
1700386760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
MARY ELIZABETH SQUIRES
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-525-5401
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Mailing Address
MARY ELIZABETH SQUIRES
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number:
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