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Organization
MARIPOSA HEALING PLACE, LLC
Active
Organization
MARIPOSA HEALING PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRISTINA SOTELO LCSW (OWNER/LICENSED CLINICAL SOCIAL WOR)
(831) 512-3548
Entity
Organization
Contact information
Practice address
310 ALTA ST, GONZALES, CA 93926
(831) 296-0117
Mailing address
PO BOX 1641, GREENFIELD, CA 93927-1641
(831) 296-0117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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