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1457043838
MICHELLE LEANNE WOOTEN
POMONA, CA
NPI
1457043838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1487601122)
Enumeration Date
2023-05-23
Last Update Date
2023-05-23
Business Address
MICHELLE LEANNE WOOTEN RADT
845 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-624-1233
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Mailing Address
MICHELLE LEANNE WOOTEN RADT
1324 E COLTON AVE
REDLANDS, CA 92374-3840
Phone number: 909-499-9478
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