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1316452097
YOLANDA AMADA GROSE
SANTA ROSA, CA
NPI
1316452097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 11096-R)
Enumeration Date
2017-12-04
Last Update Date
2017-12-04
Business Address
YOLANDA AMADA GROSE
3555 SONOMA HWY
SANTA ROSA, CA 95409-4024
Phone number: 707-526-3150
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Mailing Address
YOLANDA AMADA GROSE
3555 SONOMA HWY
SANTA ROSA, CA 95409-4024
Phone number: 707-526-3150
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