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1073207429
DANEAH R UNDERWOOD
PASADENA, CA
NPI
1073207429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-07
Last Update Date
2023-06-07
Business Address
DANEAH R UNDERWOOD
225 GRANDVIEW ST
PASADENA, CA 91104-2114
Phone number: 626-797-1124
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Mailing Address
DANEAH R UNDERWOOD
225 GRANDVIEW ST
PASADENA, CA 91104-2114
Phone number: 626-797-1124
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