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1811036866
DIANE DENISE FJELSTAD
SAN JOSE, CA
NPI
1811036866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 9742)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
DIANE DENISE FJELSTAD LCSW
650 S BASCOM AVE
SAN JOSE, CA 95128-2601
Phone number: 408-793-5870
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Mailing Address
DIANE DENISE FJELSTAD LCSW
650 S BASCOM AVE
SAN JOSE, CA 95128-2601
Phone number: 408-793-5873
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