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1083371124
MARCIE JOSEPHINE DANILUKE
SAN JOSE, CA
NPI
1083371124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R138711040)
Enumeration Date
2021-11-23
Last Update Date
2021-11-23
Business Address
MARCIE JOSEPHINE DANILUKE R138711040
102 S 11TH ST
SAN JOSE, CA 95112-2132
Phone number: 408-998-5191
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Mailing Address
MARCIE JOSEPHINE DANILUKE R138711040
770 CONCORD AVE APT 3
SAN JOSE, CA 95128-2862
Phone number: 408-849-8656
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