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1205048196
TERRI MARIE BERCASIO
SAN DIEGO, CA
NPI
1205048196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
Mrs. TERRI MARIE BERCASIO
3229 41ST ST
SAN DIEGO, CA 92105-4134
Phone number: 619-640-1042
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Mailing Address
Mrs. TERRI MARIE BERCASIO
3229 41ST ST
SAN DIEGO, CA 92105-4134
Phone number: 619-640-1042
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