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1477822997
SUSAN LOUISE VILLARREAL
SAN JOSE, CA
NPI
1477822997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-12-29
Last Update Date
2011-12-29
Business Address
Mrs. SUSAN LOUISE VILLARREAL
102 S 11TH ST
SAN JOSE, CA 95112-2132
Phone number: 408-998-5191
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Mailing Address
Mrs. SUSAN LOUISE VILLARREAL
102 S 11TH ST
SAN JOSE, CA 95112-2132
Phone number: 408-998-5191
Copy
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