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1295338309
JAMIE WOODWARD
PLACERVILLE, CA
NPI
1295338309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 11305)
Enumeration Date
2020-11-19
Last Update Date
2020-11-19
Business Address
JAMIE WOODWARD SUDRC
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 306-644-3758
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Mailing Address
JAMIE WOODWARD SUDRC
PO BOX 195
CAMINO, CA 95709-0195
Phone number: 530-919-5326
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