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1902162795
STEPHANIE ANN LOVE
MODESTO, CA
NPI
1902162795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-04-05
Last Update Date
2012-04-05
Business Address
Mrs. STEPHANIE ANN LOVE MFT Intern
101 PARK AVE
MODESTO, CA 95354-0556
Phone number: 209-491-0872
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Mailing Address
Mrs. STEPHANIE ANN LOVE MFT Intern
PO BOX 1025
WATERFORD, CA 95386-1025
Phone number: 209-491-0872
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