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1093921538
CONNIE ROSS
UKIAH, CA
NPI
1093921538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
-- CONNIE ROSS
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2604
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Mailing Address
-- CONNIE ROSS
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number:
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