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1750983847
LAUREN FIRESTONE
MODESTO, CA
NPI
1750983847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2020-11-12
Last Update Date
2024-02-26
Business Address
LAUREN FIRESTONE
1700 MCHENRY VILLAGE WAY
MODESTO, CA 95350-4308
Phone number: 209-550-5850
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Mailing Address
LAUREN FIRESTONE
100 POPLAR AVE
MODESTO, CA 95354-0510
Phone number: 209-523-4573
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