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1285180679
KIMBERLY WISE
HAYWARD, CA
NPI
1285180679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1684731)
Enumeration Date
2016-08-26
Last Update Date
2016-08-26
Business Address
-- KIMBERLY WISE catc
682 BRIERGATE WAY
HAYWARD, CA 94544-7245
Phone number: 510-487-2910
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Mailing Address
-- KIMBERLY WISE catc
4227 BAY ST APT 328
FREMONT, CA 94538-4243
Phone number: 510-487-2910
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