Individual
JACQUELINE BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
2410 JANNA AVE, MODESTO, CA 95350-1910
(209) 529-9546
Mailing address
2410 JANNA AVE, MODESTO, CA 95350-1910
(209) 529-9546
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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