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1417107749
DARRYL MICHAEL VILLAVICENCIA
SACRAMENTO, CA
NPI
1417107749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-09-23
Last Update Date
2008-09-23
Business Address
-- DARRYL MICHAEL VILLAVICENCIA
4600 47TH AVE
SACRAMENTO, CA 95824-3923
Phone number: 916-393-1222
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Mailing Address
-- DARRYL MICHAEL VILLAVICENCIA
4600 47TH AVE
SACRAMENTO, CA 95824-3923
Phone number:
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