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1104976240
ANDREA MARIE CHAVEZ
SACRAMENTO, CA
NPI
1104976240
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Former Name
ANDREA MARIE HERNANDEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Mrs. ANDREA MARIE CHAVEZ
1507 21ST ST SUITE 100
SACRAMENTO, CA 95814-5220
Phone number: 916-448-2951
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Mailing Address
Mrs. ANDREA MARIE CHAVEZ
6442 CHELTENHAM WAY
CITRUS HEIGHTS, CA 95621-4807
Phone number: 916-397-6848
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