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1386375186
DEMITRA DOUGLAS
SANTA CRUZ, CA
NPI
1386375186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1446311021)
Enumeration Date
2022-06-22
Last Update Date
2022-06-22
Business Address
DEMITRA DOUGLAS
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number: 831-462-1060
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Mailing Address
DEMITRA DOUGLAS
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number:
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