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1205333085
ELIZABETH MARIE HERNDON
SAN JOSE, CA
NPI
1205333085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-09
Last Update Date
2018-04-09
Business Address
ELIZABETH MARIE HERNDON
9500 MALECH RD
SAN JOSE, CA 95138
Phone number: 408-281-6593
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Mailing Address
ELIZABETH MARIE HERNDON
9500 MALECH RD
SAN JOSE, CA 95138
Phone number: 408-281-6593
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