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1134890296
ELIZABETH BUTLER
FAIRFIELD, CA
NPI
1134890296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1367191019)
Enumeration Date
2021-09-27
Last Update Date
2021-09-27
Business Address
ELIZABETH BUTLER RADT
1969 GRANDE CIR APT 5
FAIRFIELD, CA 94533-4212
Phone number: 707-720-6090
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Mailing Address
ELIZABETH BUTLER RADT
126 OHIO ST
VALLEJO, CA 94590-5049
Phone number: 707-644-2577
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