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1003257098
RENEE WOOTEN
RIVERSIDE, CA
NPI
1003257098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-07-08
Last Update Date
2013-07-08
Business Address
-- RENEE WOOTEN
4295 BROCKTON AVE
RIVERSIDE, CA 92501-3446
Phone number: 951-341-3786
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Mailing Address
-- RENEE WOOTEN
5870 ARLINGTON AVE SUITE #103
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596
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