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1487274981
HATTIE ROSE DAVIS
SAN DIEGO, CA
NPI
1487274981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1386040420)
Enumeration Date
2020-04-24
Last Update Date
2020-04-24
Business Address
HATTIE ROSE DAVIS RADT
2410 E ST
SAN DIEGO, CA 92102-2024
Phone number: 619-297-5131
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Mailing Address
HATTIE ROSE DAVIS RADT
4025 CAMINO DEL RIO S
SAN DIEGO, CA 92108-4107
Phone number: 619-297-5131
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