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1114109675
LORRAINE VIVIAN SAVAGE
SAN LEANDRO, CA
NPI
1114109675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-11-27
Last Update Date
2007-11-27
Business Address
-- LORRAINE VIVIAN SAVAGE
474 DOLORES AVE #306
SAN LEANDRO, CA 94577-5062
Phone number: 510-614-2224
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Mailing Address
-- LORRAINE VIVIAN SAVAGE
474 DOLORES AVE #306
SAN LEANDRO, CA 94577-5062
Phone number: 510-614-2224
Copy
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