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1003021635
SAGE MOUNTAINFIRE
UKIAH, CA
NPI
1003021635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
-- SAGE MOUNTAINFIRE
290 E GOBBI ST
UKIAH, CA 95482-5559
Phone number: 707-463-3300
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Mailing Address
-- SAGE MOUNTAINFIRE
PO BOX 464
UKIAH, CA 95482-0464
Phone number:
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