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Individual

JENNIFER FALLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5342 DUDLEY BLVD, MAIL CODE 116, MCCLELLAN, CA 95652-1012
(916) 561-7461
(916) 561-7461
Mailing address
5342 DUDLEY BLVD, MAIL CODE 116, MCCLELLAN, CA 95652-1012
(916) 561-7461
(916) 561-7471

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
04/03/2008
Last updated
10/18/2013
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