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1497397061
DANIELLA VANCE
FAIRFIELD, CA
NPI
1497397061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1365360919)
Enumeration Date
2019-10-15
Last Update Date
2019-10-15
Business Address
DANIELLA VANCE
1735 ENTERPRISE DR STE 105A
FAIRFIELD, CA 94533-6822
Phone number: 707-355-4059
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Mailing Address
DANIELLA VANCE
2915 N TEXAS ST APT 139
FAIRFIELD, CA 94533-1294
Phone number:
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