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1104200765
CANDIS ALYSE COLEMAN
SACRAMENTO, CA
NPI
1104200765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-07-14
Last Update Date
2015-07-14
Business Address
-- CANDIS ALYSE COLEMAN
2218 E ST
SACRAMENTO, CA 95816-3511
Phone number: 916-442-4519
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Mailing Address
-- CANDIS ALYSE COLEMAN
2218 E ST
SACRAMENTO, CA 95816-3511
Phone number: 916-442-4519
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