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1396148797
KATHY MACE
ATWATER, CA
NPI
1396148797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 13716)
Enumeration Date
2014-09-30
Last Update Date
2014-09-30
Business Address
-- KATHY MACE
508 MENDOCINO CT
ATWATER, CA 95301-4230
Phone number: 209-357-5200
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Mailing Address
-- KATHY MACE
559 MENDOCINO CT
ATWATER, CA 95301-4230
Phone number: 209-357-5200
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