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1992070700
MELANIE RONNIE SENGPHRACHANH
STOCKTON, CA
NPI
1992070700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-03-12
Last Update Date
2012-03-12
Business Address
-- MELANIE RONNIE SENGPHRACHANH
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8880
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Mailing Address
-- MELANIE RONNIE SENGPHRACHANH
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8880
Copy
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