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1245582618
DEBBIE MADDEN
SOUTH SAN FRANCISCO, CA
NPI
1245582618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-10
Last Update Date
2012-10-10
Business Address
-- DEBBIE MADDEN
306 SPRUCE AVE
SOUTH SAN FRANCISCO, CA 94080-2741
Phone number: 650-589-9305
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Mailing Address
-- DEBBIE MADDEN
1160 SHORELINE DR
SAN MATEO, CA 94404-2039
Phone number:
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