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1912297680
CYNTHIA LEETENEA BAKER
MODESTO, CA
NPI
1912297680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-04-14
Last Update Date
2011-04-14
Business Address
-- CYNTHIA LEETENEA BAKER
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 818-206-0360
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Mailing Address
-- CYNTHIA LEETENEA BAKER
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number:
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