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1073965711
THERESA VILLA FAUGHT
PARADISE, CA
NPI
1073965711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-07-06
Last Update Date
2016-07-06
Business Address
-- THERESA VILLA FAUGHT
7204 SKYWAY
PARADISE, CA 95969-3280
Phone number: 530-877-1965
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Mailing Address
-- THERESA VILLA FAUGHT
7204 SKYWAY
PARADISE, CA 95969-3280
Phone number: 530-877-1965
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