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1447852306
SERGE HACK
EUREKA, CA
NPI
1447852306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-11-14
Last Update Date
2020-11-14
Business Address
SERGE HACK CADC-ll
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
SERGE HACK CADC-ll
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Copy
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