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1962579524
MARY ILENE TERRA
SAN JOSE, CA
NPI
1962579524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 15092)
Enumeration Date
2006-11-29
Last Update Date
2021-05-25
Business Address
Ms. MARY ILENE TERRA LCSW
2001 THE ALAMEDA
SAN JOSE, CA 95126-1136
Phone number: 408-261-7777
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Mailing Address
Ms. MARY ILENE TERRA LCSW
2001 THE ALAMEDA
SAN JOSE, CA 95126-1136
Phone number: 408-261-7777
Copy
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