Individual
LARAYNA LOUISE FLUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 CUMMINS DR, MODESTO, CA 95358-6400
(209) 576-1750
Mailing address
1591 ROSEMARY CT, MANTECA, CA 95336-2958
(209) 510-3040
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
12683
CA
Other
Enumeration date
04/12/2007
Last updated
09/25/2023
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