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1366268849
AMAYAH TIANN HALLAM
MODESTO, CA
NPI
1366268849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-11-29
Last Update Date
2024-11-29
Business Address
AMAYAH TIANN HALLAM
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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Mailing Address
AMAYAH TIANN HALLAM
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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