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Individual

ALEXANDER DRENNING MANRIQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8842
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(650) 457-9870

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
131676
CA
106E00000X
Assistant Behavior Analyst
131676
CA
373H00000X
Day Training/Habilitation Specialist
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/22/2023
Last updated
07/15/2025
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