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1295594547
STEPHANIE EVON HOLLIS
OAKLAND, CA
NPI
1295594547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 17596)
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
STEPHANIE EVON HOLLIS SUDRC
3408 ANDOVER ST
OAKLAND, CA 94609-2817
Phone number: 510-393-4113
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Mailing Address
STEPHANIE EVON HOLLIS SUDRC
3408 ANDOVER ST
OAKLAND, CA 94609-2817
Phone number: 510-393-4113
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