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1013585264
GISELLE MARIE LAFAYETTE
SANTA ROSA, CA
NPI
1013585264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 8467)
Enumeration Date
2021-06-15
Last Update Date
2021-06-15
Business Address
GISELLE MARIE LAFAYETTE SUDCC, MATC
2403 PROFESSIONAL DR STE 103
SANTA ROSA, CA 95403-3007
Phone number: 707-526-2999
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Mailing Address
GISELLE MARIE LAFAYETTE SUDCC, MATC
2403 PROFESSIONAL DR STE 103
SANTA ROSA, CA 95403-3007
Phone number: 707-526-2999
Copy
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