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1952436438
JESSICA LOUISE UNDERWOOD
FRESNO, CA
NPI
1952436438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-02-23
Last Update Date
2014-02-11
Business Address
-- JESSICA LOUISE UNDERWOOD
1505 N CHESTNUT AVE
FRESNO, CA 93703-4504
Phone number: 559-251-4800
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Mailing Address
-- JESSICA LOUISE UNDERWOOD
5216 E HOXIE AVE
FRESNO, CA 93725-4051
Phone number: 559-779-3519
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