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1083160766
TERESA MADRIGAL FARIAS
MODESTO, CA
NPI
1083160766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-08-31
Last Update Date
2016-08-31
Business Address
-- TERESA MADRIGAL FARIAS
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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Mailing Address
-- TERESA MADRIGAL FARIAS
1680 BLEVINS WAY
TURLOCK, CA 95380-2255
Phone number: 209-756-4010
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