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1073708194
KATHERINE LOUISE IVERSON
REDDING, CA
NPI
1073708194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-09-11
Last Update Date
2007-09-11
Business Address
-- KATHERINE LOUISE IVERSON
2640 BRESLAUER WAY
REDDING, CA 96001-4246
Phone number: 530-245-6406
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Mailing Address
-- KATHERINE LOUISE IVERSON
3519 LAGOON DR
REDDING, CA 96001-3938
Phone number: 530-524-7125
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