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1104380955
SERENITY NICOLE SULEK
MODESTO, CA
NPI
1104380955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-01-25
Last Update Date
2019-01-25
Business Address
SERENITY NICOLE SULEK
1235 MCHENRY AVE STE A&B
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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Mailing Address
SERENITY NICOLE SULEK
590 ACACIA AVE
MANTECA, CA 95336-3640
Phone number: 209-409-9079
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