Individual
MRS. VERNICE SALLY MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY TECH
Contact information
Practice address
1209 W TOKAY ST, SUITE 5, LODI, CA 95240-3845
(209) 331-2070
(209) 331-2077
Mailing address
416 CONCORD ST, LODI, CA 95240-5317
(209) 331-2070
(209) 331-2077
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
21167
CA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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