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1245380294
SUZANNE M PEREIRA
STOCKTON, CA
NPI
1245380294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
-- SUZANNE M PEREIRA Ph.D.c.
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210-1835
Phone number: 209-478-2487
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Mailing Address
-- SUZANNE M PEREIRA Ph.D.c.
852 VIRGINIA ST
MANTECA, CA 95337-5347
Phone number: 209-823-1556
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