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1386028017
BETH LEWIS TKACIK
SACRAMENTO, CA
NPI
1386028017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-07-13
Last Update Date
2015-07-13
Business Address
-- BETH LEWIS TKACIK
1446 ETHAN WAY
SACRAMENTO, CA 95825-2214
Phone number: 916-922-5110
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Mailing Address
-- BETH LEWIS TKACIK
7506 BRADSHAW RD
SACRAMENTO, CA 95829-1033
Phone number: 916-821-8318
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