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1437404068
EVELYN TERRA
STOCKTON, CA
NPI
1437404068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-07-19
Last Update Date
2012-07-19
Business Address
-- EVELYN TERRA
8626 LOWER SACRAMENTO RD SUITE 41
STOCKTON, CA 95210-1835
Phone number: 209-478-2487
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Mailing Address
-- EVELYN TERRA
15574 5TH ST
LATHROP, CA 95330-9725
Phone number:
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