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1235589185
GWEN GOLDESBERRY
YREKA, CA
NPI
1235589185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1224670316)
Enumeration Date
2016-06-21
Last Update Date
2016-07-21
Business Address
-- GWEN GOLDESBERRY
2060 CAMPUS DR
YREKA, CA 96097-9538
Phone number: 530-841-4861
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Mailing Address
-- GWEN GOLDESBERRY
2060 CAMPUS DR
YREKA, CA 96097-9538
Phone number: 530-841-4861
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