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1245578541
PAULA LORRAINE IVEY-WEINBERG
FAIRFIELD, CA
NPI
1245578541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2013-01-21
Last Update Date
2013-01-21
Business Address
PAULA LORRAINE IVEY-WEINBERG
1735 ENTERPRISE DR BLD 1 SUITE 105A
FAIRFIELD, CA 94533-6822
Phone number: 707-425-1799
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Mailing Address
PAULA LORRAINE IVEY-WEINBERG
1735 ENTERPRISE DR BLD 1 SUITE 105A
FAIRFIELD, CA 94533-6822
Phone number: 707-425-1799
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