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1407496391
AMANDA J DEPROSSE
CONCORD, CA
NPI
1407496391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1374870120)
Enumeration Date
2020-01-09
Last Update Date
2020-01-09
Business Address
AMANDA J DEPROSSE RADT
4713 CURLETTO DR
CONCORD, CA 94521-2125
Phone number: 714-613-3135
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Mailing Address
AMANDA J DEPROSSE RADT
4713 CURLETTO DR
CONCORD, CA 94521-2125
Phone number: 714-613-3135
Copy
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