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1346635950
ENDA VENE'E DAVIS
SAN RAFAEL, CA
NPI
1346635950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 4972R)
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
Ms. ENDA VENE'E DAVIS
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
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Mailing Address
Ms. ENDA VENE'E DAVIS
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
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