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1902155625
JORLY THAKADIYEL JONNEY
STOCKTON, CA
NPI
1902155625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW108237)
Enumeration Date
2012-09-10
Last Update Date
2023-12-20
Business Address
JORLY THAKADIYEL JONNEY ASW
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-953-5462
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Mailing Address
JORLY THAKADIYEL JONNEY ASW
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-953-5462
Copy
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