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1114055274
MEMORY LEE RUSH
ARCATA, CA
NPI
1114055274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 23414)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
Ms. MEMORY LEE RUSH M.S.W.
261 E 11TH ST
ARCATA, CA 95521-6097
Phone number: 707-822-4558
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Mailing Address
Ms. MEMORY LEE RUSH M.S.W.
261 E 11TH ST
ARCATA, CA 95521-6097
Phone number: 707-822-4558
Copy
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