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1043911894
KATIE JENKINS
STOCKTON, CA
NPI
1043911894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 39007BN)
Enumeration Date
2023-03-16
Last Update Date
2023-03-16
Business Address
KATIE JENKINS SUDRC 14739
1981 CHEROKEE RD
STOCKTON, CA 95205-2720
Phone number: 209-870-6500
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Mailing Address
KATIE JENKINS SUDRC 14739
1981 CHEROKEE RD
STOCKTON, CA 95205-2720
Phone number: 209-870-6500
Copy
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