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1205402203
HEIDI CLARKE
REDDING, CA
NPI
1205402203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-06-01
Last Update Date
2021-06-01
Business Address
HEIDI CLARKE
1147 HARTNELL AVE
REDDING, CA 96002-2113
Phone number: 530-222-7213
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Mailing Address
HEIDI CLARKE
1147 HARTNELL AVE
REDDING, CA 96002-2113
Phone number: 530-222-7213
Copy
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