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1386933067
TARA MCINTIRE
GRASS VALLEY, CA
NPI
1386933067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-04-01
Last Update Date
2011-04-07
Business Address
-- TARA MCINTIRE RRW
440 HENDERSON ST SUITE C
GRASS VALLEY, CA 95945-7374
Phone number: 530-273-9541
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Mailing Address
-- TARA MCINTIRE RRW
440 HENDERSON ST SUITE C
GRASS VALLEY, CA 95945-7374
Phone number: 530-273-9541
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