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Individual

AQSA JABEEN JAFFAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1150 S CHEROKEE LANE, LODI, CA 95240
(209) 636-5400
Mailing address
1635 CHERRYWOOD WAY, LODI, CA 95240-8898
(209) 263-1951

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW126015
CA

Other

Enumeration date
11/04/2024
Last updated
11/04/2024
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