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1356830095
DIANE MADRIGAL
SANTA ROSA, CA
NPI
1356830095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-05-08
Last Update Date
2023-02-10
Business Address
DIANE MADRIGAL CAODC-A, M-RAS, CCDS
2245 CHALLENGER WAY STE 100
SANTA ROSA, CA 95407-5418
Phone number: 707-565-6963
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Mailing Address
DIANE MADRIGAL CAODC-A, M-RAS, CCDS
PO BOX 1356,
SANTA ROSA, CA 95402
Phone number: 707-527-0412
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