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1114413754
PHOENIX RENEE PROCTER
CHICO, CA
NPI
1114413754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-07-06
Last Update Date
2018-07-06
Business Address
Ms. PHOENIX RENEE PROCTER
592 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-891-2775
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Mailing Address
Ms. PHOENIX RENEE PROCTER
2060 AMANDA WAY APT 32
CHICO, CA 95928-3713
Phone number: 340-514-8595
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