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1932380854
LIA MARGARET MAKSOUD
MODESTO, CA
NPI
1932380854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-11-20
Last Update Date
2007-11-20
Business Address
-- LIA MARGARET MAKSOUD BA
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
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Mailing Address
-- LIA MARGARET MAKSOUD BA
3810 NORTHERN OAK DR
CERES, CA 95307-7150
Phone number: 209-527-4597
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