Individual
ALYSSA MARIE LIBRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 S EL DORADO ST, STOCKTON, CA 95202
(209) 478-9862
Mailing address
420 E CANAL DR, TURLOCK, CA 95380-3936
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/23/2019
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