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1104191956
TRACI MOLINA-WITCRAFT
FRESNO, CA
NPI
1104191956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-03-13
Last Update Date
2012-03-13
Business Address
-- TRACI MOLINA-WITCRAFT
1235 E ST
FRESNO, CA 93706-2024
Phone number: 559-268-6261
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Mailing Address
-- TRACI MOLINA-WITCRAFT
217 S K ST 23
MADERA, CA 93637-4655
Phone number: 559-481-0781
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