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1720644610
DIAMANTINA LOCK
FRESNO, CA
NPI
1720644610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 99730)
Enumeration Date
2019-05-15
Last Update Date
2019-11-05
Business Address
DIAMANTINA LOCK LMFT
2540 W SHAW LN STE 107
FRESNO, CA 93711-2700
Phone number: 559-256-7622
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Mailing Address
DIAMANTINA LOCK LMFT
PO BOX 2427
CLOVIS, CA 93613-2427
Phone number: 559-346-7127
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