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1013345263
SANDRA DENISE DOUGLAS
LEMON GROVE, CA
NPI
1013345263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-10-25
Last Update Date
2013-10-25
Business Address
-- SANDRA DENISE DOUGLAS
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
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Mailing Address
-- SANDRA DENISE DOUGLAS
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
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