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1295232940
STEPHANIE LORRAINE REYES
SAN JOSE, CA
NPI
1295232940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-10
Last Update Date
2018-04-10
Business Address
STEPHANIE LORRAINE REYES
9500 MALECH RD
SAN JOSE, CA 95138
Phone number: 408-281-6550
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Mailing Address
STEPHANIE LORRAINE REYES
1659 SCOTT BLVD STE 30
SANTA CLARA, CA 95050-4137
Phone number: 408-244-1834
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