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1831441435
MARISSA JANEL TAYLOR
STOCKTON, CA
NPI
1831441435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2012-10-05
Last Update Date
2024-02-06
Business Address
MARISSA JANEL TAYLOR
306 E MAIN ST
STOCKTON, CA 95202-2941
Phone number: 209-478-4554
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Mailing Address
MARISSA JANEL TAYLOR
306 E MAIN ST
STOCKTON, CA 95202-2941
Phone number: 209-478-4554
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