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1396143160
TABATHA HERNANDEZ
ATWATER, CA
NPI
1396143160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A043271216)
Enumeration Date
2014-12-10
Last Update Date
2023-03-21
Business Address
TABATHA HERNANDEZ CADC II
508 MENDOCINO CT
ATWATER, CA 95301-4230
Phone number: 209-357-5269
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Mailing Address
TABATHA HERNANDEZ CADC II
508 MENDOCINO CT
ATWATER, CA 95301-4230
Phone number: 209-357-5269
Copy
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