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1184121956
MIKYLA SCHOBER
GRASS VALLEY, CA
NPI
1184121956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1303360418)
Enumeration Date
2018-04-09
Last Update Date
2020-08-12
Business Address
MIKYLA SCHOBER RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-271-1140
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Mailing Address
MIKYLA SCHOBER RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-271-1140
Copy
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