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1710585484
LISETTE MACIEL-HERNANDEZ
MODESTO, CA
NPI
1710585484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-10-14
Last Update Date
2024-05-20
Business Address
LISETTE MACIEL-HERNANDEZ
920 12TH ST
MODESTO, CA 95354-2320
Phone number: 209-524-6371
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Mailing Address
LISETTE MACIEL-HERNANDEZ
2748 SANTIAGO DR
MODESTO, CA 95354-3236
Phone number:
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