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1407982713
DEANDRE A. MAXWELL
FRESNO, CA
NPI
1407982713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C051620318)
Enumeration Date
2007-02-23
Last Update Date
2024-09-10
Business Address
DEANDRE A. MAXWELL
1310 M ST
FRESNO, CA 93721-1808
Phone number: 559-264-2700
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Mailing Address
DEANDRE A. MAXWELL
481 N ORANGEWOOD AVE
FRESNO, CA 93727-3230
Phone number:
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