DEDRIA BLACK

SAN ANDREAS, CA
NPI1316338940
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-02-18
Last Update Date2015-02-18
Business Address
-- DEDRIA BLACK
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number: 209-754-6537
Mailing Address
-- DEDRIA BLACK
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number:
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