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1164965760
KATHERINE WENTWORTH
SAN BERNARDINO, CA
NPI
1164965760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-11-30
Last Update Date
2016-11-30
Business Address
-- KATHERINE WENTWORTH
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-381-3774
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Mailing Address
-- KATHERINE WENTWORTH
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-381-3774
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