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1245773472
INGRID M MARIN
SAN JOSE, CA
NPI
1245773472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci06311016)
Enumeration Date
2016-11-20
Last Update Date
2016-11-20
Business Address
Ms. INGRID M MARIN CADC I
102 S 11TH ST
SAN JOSE, CA 95112-2132
Phone number: 408-998-5191
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Mailing Address
Ms. INGRID M MARIN CADC I
344 LEIGH AVE
SAN JOSE, CA 95128-2322
Phone number: 408-791-9363
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