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1396387734
MELISSA R BURNETT
GRASS VALLEY, CA
NPI
1396387734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R92331214)
Enumeration Date
2019-10-16
Last Update Date
2019-10-16
Business Address
MELISSA R BURNETT RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-271-1140
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Mailing Address
MELISSA R BURNETT RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-271-1140
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