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1992377048
LISA MARIE MAITLAND
MODESTO, CA
NPI
1992377048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 70632)
Enumeration Date
2021-07-16
Last Update Date
2021-07-16
Business Address
LISA MARIE MAITLAND
4120 DALE RD. SUITE J-8 #102
MODESTO, CA 95356
Phone number: 209-412-3758
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Mailing Address
LISA MARIE MAITLAND
4120 DALE RD. SUITE J-8 #102
MODESTO, CA 95356
Phone number: 209-412-3758
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