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1043965700
MARILYNNE SUE WALPOLE
EUREKA, CA
NPI
1043965700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CiCA05000821)
Enumeration Date
2022-02-21
Last Update Date
2022-02-21
Business Address
MARILYNNE SUE WALPOLE CADC l CA
2107 1ST ST
EUREKA, CA 95501-0840
Phone number: 707-273-6395
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Mailing Address
MARILYNNE SUE WALPOLE CADC l CA
2107 1ST ST
EUREKA, CA 95501-0840
Phone number: 707-498-1865
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