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1144805763
DEBORAH SUSAN COOVERT-BAKER
ANAHEIM, CA
NPI
1144805763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1340590319)
Enumeration Date
2021-03-15
Last Update Date
2021-03-15
Business Address
DEBORAH SUSAN COOVERT-BAKER RADT
1265 N CHRISDEN ST APT Q104
ANAHEIM, CA 92807-2208
Phone number: 714-936-9765
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Mailing Address
DEBORAH SUSAN COOVERT-BAKER RADT
1265 N CHRISDEN ST APT Q104
ANAHEIM, CA 92807-2208
Phone number: 714-936-9765
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