Individual
MS. JEANNE ELAINE ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3300 TULLY RD, SUITE C-1, MODESTO, CA 95350-0836
(209) 529-2084
(209) 529-2282
Mailing address
3300 TULLY RD, SUITE C-1, MODESTO, CA 95350-0836
(209) 529-2084
(209) 529-2282
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS9642
CA
Other
Enumeration date
09/01/2006
Last updated
05/17/2012
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