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1174766927
GOLDIE LEWIS
SACRAMENTO, CA
NPI
1174766927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 340084CN)
Enumeration Date
2009-04-09
Last Update Date
2009-04-09
Business Address
-- GOLDIE LEWIS
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
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Mailing Address
-- GOLDIE LEWIS
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
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