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1013655307
MARK ANTHONY ALVIDREZ
GRASS VALLEY, CA
NPI
1013655307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-05-25
Last Update Date
2022-05-25
Business Address
MARK ANTHONY ALVIDREZ
900 E MAIN ST STE 201
GRASS VALLEY, CA 95945-5853
Phone number: 530-273-2244
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Mailing Address
MARK ANTHONY ALVIDREZ
900 E MAIN ST STE 201
GRASS VALLEY, CA 95945-5853
Phone number: 530-273-2244
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