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1306023874
PAMELA MARIE DAVIDSON
STOCKTON, CA
NPI
1306023874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-28
Last Update Date
2008-01-28
Business Address
Mrs. PAMELA MARIE DAVIDSON
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
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Mailing Address
Mrs. PAMELA MARIE DAVIDSON
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
Copy
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