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1306291463
RENDY TIMBERLAKE
UKIAH, CA
NPI
1306291463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 169385)
Enumeration Date
2016-04-26
Last Update Date
2017-04-26
Business Address
-- RENDY TIMBERLAKE
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2624
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Mailing Address
-- RENDY TIMBERLAKE
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2624
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