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1023213311
SUE G MANKINI
ANTIOCH, CA
NPI
1023213311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 040889)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
-- SUE G MANKINI catc
2828 FILBERT ST
ANTIOCH, CA 94509-7336
Phone number: 925-757-3415
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Mailing Address
-- SUE G MANKINI catc
2828 FILBERT ST
ANTIOCH, CA 94509-7336
Phone number: 925-757-3415
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