MICKENSEY LYNN OLIVEIRA

MODESTO, CA
NPI1962265041
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-02-01
Last Update Date2024-02-01
Business Address
MICKENSEY LYNN OLIVEIRA
416 CORSON AVE
MODESTO, CA 95350-5408
Phone number: 209-521-1805
Mailing Address
MICKENSEY LYNN OLIVEIRA
416 CORSON AVE
MODESTO, CA 95350-5408
Phone number: 209-521-1805
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