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1447767975
DEIRDRE PHILLIPS
SANTA ROSA, CA
NPI
1447767975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1069-R)
Enumeration Date
2018-01-05
Last Update Date
2023-07-18
Business Address
DEIRDRE PHILLIPS
540 MIDDLE RINCON ROAD
SANTA ROSA, CA 95409
Phone number: 707-335-0702
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Mailing Address
DEIRDRE PHILLIPS
540 MIDDLE RINCON ROAD
SANTA ROSA, CA 95409
Phone number: 707-335-0702
Copy
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