MARIE ANTIONETTE JEFFERSON

SANTA ROSA, CA
NPI1144539495
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-10-05
Last Update Date2016-02-26
Business Address
-- MARIE ANTIONETTE JEFFERSON
98 HENDLEY ST
SANTA ROSA, CA 95404-5025
Phone number: 707-527-0712
Mailing Address
-- MARIE ANTIONETTE JEFFERSON
98 HENDLEY ST
SANTA ROSA, CA 95404-5025
Phone number: 707-527-0712
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