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1386309672
PENNY TERRELL POUVOIR
VALLEJO, CA
NPI
1386309672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-11-02
Last Update Date
2021-11-02
Business Address
PENNY TERRELL POUVOIR
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
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Mailing Address
PENNY TERRELL POUVOIR
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number:
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