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1942587290
DIANA WHITE
STOCKTON, CA
NPI
1942587290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 104100000X)
Enumeration Date
2011-11-14
Last Update Date
2011-11-14
Business Address
-- DIANA WHITE
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-953-7461
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Mailing Address
-- DIANA WHITE
3724 E PACIFIC AVE
SACRAMENTO, CA 95820-1011
Phone number:
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