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1063012748
SOFIA M DEGRUCCIO
GRASS VALLEY, CA
NPI
1063012748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1382580420)
Enumeration Date
2020-10-30
Last Update Date
2020-10-30
Business Address
SOFIA M DEGRUCCIO
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-273-1140
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Mailing Address
SOFIA M DEGRUCCIO
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-273-1140
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