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1093053936
MARY MONIQUE MICHEL
SAN BERNARDINO, CA
NPI
1093053936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
-- MARY MONIQUE MICHEL
1874 BUSINESS CENTER DR
SAN BERNARDINO, CA 92408-3457
Phone number: 909-386-0523
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Mailing Address
-- MARY MONIQUE MICHEL
1874 BUSINESS CENTER DR
SAN BERNARDINO, CA 92408-3457
Phone number: 909-386-0523
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