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1750620902
JACQUELYN IRENE MITCHELL
MODESTO, CA
NPI
1750620902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF 56335)
Enumeration Date
2013-02-07
Last Update Date
2013-02-07
Business Address
-- JACQUELYN IRENE MITCHELL MFTI
3049 DARLENE LN
MODESTO, CA 95355-4157
Phone number: 209-535-1997
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Mailing Address
-- JACQUELYN IRENE MITCHELL MFTI
3049 DARLENE LN
MODESTO, CA 95355-4157
Phone number: 209-535-1997
Copy
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