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1093050718
ANDREA CARRUTH
STOCKTON, CA
NPI
1093050718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-12-06
Last Update Date
2017-06-16
Business Address
-- ANDREA CARRUTH
1947 N CALIFORNIA ST STE B
STOCKTON, CA 95204-6029
Phone number: 209-463-0870
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Mailing Address
-- ANDREA CARRUTH
1947 N CALIFORNIA ST STE B
STOCKTON, CA 95204
Phone number: 209-463-0870
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