Individual
ALICE HAEJEEN CONNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 556-3826
Mailing address
2735 5TH ST, CERES, CA 95307-3315
(209) 204-0789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100384
CA
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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