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1194050948
JANICE M. SMALL
BERKELEY, CA
NPI
1194050948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2009-10-13
Last Update Date
2009-10-13
Business Address
JANICE M. SMALL
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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Mailing Address
JANICE M. SMALL
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number:
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