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1063175610
TASHIA NICOLE PETTY
EL CAJON, CA
NPI
1063175610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-10-20
Last Update Date
2021-10-20
Business Address
TASHIA NICOLE PETTY
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020-1649
Phone number: 619-440-4801
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Mailing Address
TASHIA NICOLE PETTY
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277
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