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1215513965
SARAH IRENE SYSAVATH
HAYWARD, CA
NPI
1215513965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 100441)
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
SARAH IRENE SYSAVATH
20094 MISSION BLVD
HAYWARD, CA 94541-1237
Phone number: 510-727-9755
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Mailing Address
SARAH IRENE SYSAVATH
20094 MISSION BLVD
HAYWARD, CA 94541-1237
Phone number: 510-727-9755
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