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1780204842
DEITRA DEAN MCMAHON
SANTA CRUZ, CA
NPI
1780204842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: CA ASW85759)
Enumeration Date
2020-04-19
Last Update Date
2020-04-19
Business Address
DEITRA DEAN MCMAHON
700 FREDERICK ST STE C
SANTA CRUZ, CA 95062-2239
Phone number: 831-996-1222
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Mailing Address
DEITRA DEAN MCMAHON
PO BOX 7691
SANTA CRUZ, CA 95061-7691
Phone number:
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