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1093212706
DERECIA BURTON
LEMON GROVE, CA
NPI
1093212706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-09
Last Update Date
2018-04-09
Business Address
DERECIA BURTON
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
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Mailing Address
DERECIA BURTON
1400 N JOHNSON AVE
EL CAJON, CA 92020-1650
Phone number:
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