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1932613676
CAROL LYNN MICHAELIS
MODESTO, CA
NPI
1932613676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-16
Last Update Date
2018-04-07
Business Address
CAROL LYNN MICHAELIS
1235 MCHENRY AVE STE A&B
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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Mailing Address
CAROL LYNN MICHAELIS
650 COMSTOCK LN
MANTECA, CA 95336-8530
Phone number:
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