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1316521206
NOEMI ESTHER PROUT
PLACERVILLE, CA
NPI
1316521206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10205)
Enumeration Date
2021-05-07
Last Update Date
2021-05-07
Business Address
NOEMI ESTHER PROUT SUDRC
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-642-1715
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Mailing Address
NOEMI ESTHER PROUT SUDRC
PO BOX 1666
PLACERVILLE, CA 95667-1666
Phone number: 530-642-1715
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