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1124371240
SAGE WOLF
UKIAH, CA
NPI
1124371240
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Former Name
REBECCA LIEBERKNECHT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-10-26
Last Update Date
2022-11-14
Business Address
SAGE WOLF MHRS
631 S ORCHARD AVE
UKIAH, CA 95482-5011
Phone number: 707-467-2010
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Mailing Address
SAGE WOLF MHRS
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010
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