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1417325051
NICOLE WETTACH-FARIAS
SANTA ROSA, CA
NPI
1417325051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 127045)
Enumeration Date
2015-09-14
Last Update Date
2024-11-14
Business Address
Ms. NICOLE WETTACH-FARIAS
2455 BENNETT VALLEY RD STE B209
SANTA ROSA, CA 95404-5669
Phone number: 707-224-8266
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Mailing Address
Ms. NICOLE WETTACH-FARIAS
7811 BERNICE CT
ROHNERT PARK, CA 94928-4021
Phone number: 707-977-8611
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