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1154674257
MARISSA CHURCH
ROSEVILLE, CA
NPI
1154674257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-26
Last Update Date
2012-10-26
Business Address
-- MARISSA CHURCH
406 SUNRISE AVE STE 310
ROSEVILLE, CA 95661-4125
Phone number: 916-782-3737
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Mailing Address
-- MARISSA CHURCH
406 SUNRISE AVE STE 310
ROSEVILLE, CA 95661-4125
Phone number: 916-782-3737
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