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1215366000
MITCHELL DELARIVA
DIAMOND SPRINGS, CA
NPI
1215366000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2013-11-02
Last Update Date
2023-05-19
Business Address
MITCHELL DELARIVA
4250 FOWLER LN
DIAMOND SPRINGS, CA 95619-9781
Phone number: 530-626-3105
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Mailing Address
MITCHELL DELARIVA
PO BOX 1987
DIAMOND SPRINGS, CA 95619-1987
Phone number: 530-626-3105
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