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1255601043
ROBERTA CARDWELL
SANTA ROSA, CA
NPI
1255601043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-01-10
Last Update Date
2012-01-10
Business Address
-- ROBERTA CARDWELL
3315 AIRWAY DR
SANTA ROSA, CA 95403-2005
Phone number: 707-523-2242
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Mailing Address
-- ROBERTA CARDWELL
108 HORN AVE
SANTA ROSA, CA 95407-8242
Phone number: 707-623-3260
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