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1487250528
ADRIENNE LACOME
SAN RAFAEL, CA
NPI
1487250528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10352)
Enumeration Date
2020-12-04
Last Update Date
2020-12-04
Business Address
ADRIENNE LACOME
1477 LINCOLN AVE
SAN RAFAEL, CA 94901-2028
Phone number: 415-459-2395
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Mailing Address
ADRIENNE LACOME
120 REDWOOD AVE APT 6
CORTE MADERA, CA 94925-1466
Phone number: 415-847-9846
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