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Organization
VALLEY HOPE COMMUNITY PARTNERSHIP
Active
Organization
VALLEY HOPE COMMUNITY PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KELLY ABBOTT PSYD (PSYCHOLOGIST)
(209) 596-4162
Entity
Organization
Contact information
Practice address
3340 TULLY RD STE D4, MODESTO, CA 95350-0852
(209) 496-4162
Mailing address
3340 TULLY RD STE D4, MODESTO, CA 95350-0852
(209) 496-4162
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
27701
CA
1041C0700X
Clinical Social Worker
Primary
70497
CA
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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