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1336973312
DESARI M BLACK
FRESNO, CA
NPI
1336973312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 11885)
Enumeration Date
2024-08-30
Last Update Date
2024-08-30
Business Address
Mrs. DESARI M BLACK SUDCCIII-CS
1414 W KEARNEY BLVD
FRESNO, CA 93706-2702
Phone number: 559-485-0501
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Mailing Address
Mrs. DESARI M BLACK SUDCCIII-CS
1414 W KEARNEY BLVD
FRESNO, CA 93706-2702
Phone number: 559-485-0501
Copy
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