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Individual

AVA RENEE LYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3081 TEAGARDEN ST, SAN LEANDRO, CA 94577-5720
(510) 347-4620
Mailing address
3081 TEAGARDEN ST, SAN LEANDRO, CA 94577-5720
(650) 489-5581

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary

Other

Enumeration date
09/01/2021
Last updated
02/10/2022
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