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1871102947
MICHELLE D. CLEARY
MODESTO, CA
NPI
1871102947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1233040616)
Enumeration Date
2020-07-24
Last Update Date
2020-07-24
Business Address
MICHELLE D. CLEARY R1233040616
1405 11TH ST
MODESTO, CA 95354-0748
Phone number: 209-284-0970
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Mailing Address
MICHELLE D. CLEARY R1233040616
PO BOX 194
CROWS LANDING, CA 95313-0194
Phone number: 209-210-0545
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