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1487672101
CAROLYN HUMPHREY
SACRAMENTO, CA
NPI
1487672101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CAADAC)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
-- CAROLYN HUMPHREY
2100 CAPITOL AVE
SACRAMENTO, CA 95816-5721
Phone number: 916-442-4985
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Mailing Address
-- CAROLYN HUMPHREY
310 HARRIS AVE STE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
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