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1003667296
MENDY KAY DEGENNARO
SACRAMENTO, CA
NPI
1003667296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA B00003290224)
Enumeration Date
2024-03-27
Last Update Date
2024-03-27
Business Address
MENDY KAY DEGENNARO B00003290224
3647 40TH ST
SACRAMENTO, CA 95817-3609
Phone number: 916-452-1068
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Mailing Address
MENDY KAY DEGENNARO B00003290224
3647 40TH ST
SACRAMENTO, CA 95817-3609
Phone number: 916-452-1068
Copy
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