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1346643582
AZZIE THOMAS
SACRAMENTO, CA
NPI
1346643582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-T1108181845)
Enumeration Date
2014-10-02
Last Update Date
2014-10-02
Business Address
-- AZZIE THOMAS
310 HARRIS AVE STE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
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Mailing Address
-- AZZIE THOMAS
310 HARRIS AVE STE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
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