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1154449445
SERENA JO EVERSON
SANTA MARIA, CA
NPI
1154449445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- SERENA JO EVERSON
401 W MORRISON AVE
SANTA MARIA, CA 93458-6124
Phone number: 805-347-3338
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Mailing Address
-- SERENA JO EVERSON
PO BOX 5085
SANTA MARIA, CA 93456-5085
Phone number: 805-406-0978
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