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1083821722
JUDITH A ANSELMI
STOCKTON, CA
NPI
1083821722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A0501011428)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
Mrs. JUDITH A ANSELMI AA, RAS
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-2005
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Mailing Address
Mrs. JUDITH A ANSELMI AA, RAS
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-2005
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