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1962655076
DIANA L CONNOLLY
DAVIS, CA
NPI
1962655076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 16059)
Enumeration Date
2008-11-03
Last Update Date
2008-11-03
Business Address
-- DIANA L CONNOLLY LCSW
430 10TH ST
DAVIS, CA 95616-1942
Phone number: 530-792-7120
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Mailing Address
-- DIANA L CONNOLLY LCSW
PO BOX 2154
DAVIS, CA 95617-2154
Phone number: 530-792-7120
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