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1841313483
REBECCA WAILING STALLWORTH
STOCKTON, CA
NPI
1841313483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW21669)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
-- REBECCA WAILING STALLWORTH LCSW
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8700
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Mailing Address
-- REBECCA WAILING STALLWORTH LCSW
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8700
Copy
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