CYNTHIA L PROUT

GRASS VALLEY, CA
NPI1366811044
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1209200815)
Enumeration Date2015-09-23
Last Update Date2015-09-23
Business Address
CYNTHIA L PROUT RADT-1
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-271-1140
Mailing Address
CYNTHIA L PROUT RADT-1
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-271-1140
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