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1386932119
MARTHA RAY WISEMAN
DALY CITY, CA
NPI
1386932119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-07-13
Last Update Date
2011-07-13
Business Address
Ms. MARTHA RAY WISEMAN
6181 MISSION ST
DALY CITY, CA 94014-2002
Phone number: 415-337-0140
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Mailing Address
Ms. MARTHA RAY WISEMAN
6181 MISSION ST
DALY CITY, CA 94014-2002
Phone number: 415-337-0140
Copy
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