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1205023678
JANICE MARIE MODICA
RICHMOND, CA
NPI
1205023678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-01
Last Update Date
2017-11-13
Business Address
JANICE MARIE MODICA
2500 BISSELL AVE
RICHMOND, CA 94804-1815
Phone number: 510-235-1516
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Mailing Address
JANICE MARIE MODICA
2500 BISSELL AVE
RICHMOND, CA 94804-1815
Phone number: 510-235-1516
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