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1194483552
ALEXANDRA RUSAKE
SANTA ROSA, CA
NPI
1194483552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA 120966)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-12-02
Last Update Date
2024-02-12
Business Address
ALEXANDRA RUSAKE
341 IRWIN LN
SANTA ROSA, CA 95401-5603
Phone number: 707-360-1500
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Mailing Address
ALEXANDRA RUSAKE
420 E COTATI AVE
COTATI, CA 94931-4442
Phone number: 707-795-4336
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