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1811202344
DESTANEY MCKINNIE
STOCKTON, CA
NPI
1811202344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-08-09
Last Update Date
2010-08-09
Business Address
-- DESTANEY MCKINNIE
1149 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-468-2337
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Mailing Address
-- DESTANEY MCKINNIE
1149 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-468-2337
Copy
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