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1366004541
DEANNA LAVONNE BENNETT RIDGWAY
SACRAMENTO, CA
NPI
1366004541
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Other Name
DEANNA LAVONNE RIDGWAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 107067)
Enumeration Date
2019-07-08
Last Update Date
2022-05-16
Business Address
DEANNA LAVONNE BENNETT RIDGWAY
2750 SUTTERVILLE RD
SACRAMENTO, CA 95820-1024
Phone number: 916-572-4163
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Mailing Address
DEANNA LAVONNE BENNETT RIDGWAY
PO BOX 341
SACRAMENTO, CA 95812-0341
Phone number: 916-572-4163
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