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Individual

SENY MADRIZ FAJARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
908 SIERRA DR, MODESTO, CA 95351-3254
(209) 492-9785
(209) 492-9174
Mailing address
16817 MYERS LN, DELHI, CA 95315-9259
(209) 648-5515

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
05/04/2022
Last updated
05/04/2022
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