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1427882463
MELISSA EISENBERG
MODESTO, CA
NPI
1427882463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1575650824)
Enumeration Date
2024-08-30
Last Update Date
2024-08-30
Business Address
MELISSA EISENBERG RADY-I
416 CORSON AVE
MODESTO, CA 95350-5408
Phone number: 209-521-1805
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Mailing Address
MELISSA EISENBERG RADY-I
416 CORSON AVE
MODESTO, CA 95350-5408
Phone number: 209-521-1805
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