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1356656524
SYCHANH CHANTHABOURY
SACRAMENTO, CA
NPI
1356656524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-08-12
Last Update Date
2010-08-12
Business Address
-- SYCHANH CHANTHABOURY
4343 WILLIAMSBOURGH DR STRATEGIES4CHANGE SOUTH
SACRAMENTO, CA 95823
Phone number: 916-395-3552
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Mailing Address
-- SYCHANH CHANTHABOURY
4343 WILLIAMSBOURGH DR STRATEGIES4CHANGE SOUTH
SACRAMENTO, CA 95823
Phone number: 916-395-3552
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