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1497940266
JACKIE S TEARTT
SAN FRANCISCO, CA
NPI
1497940266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-09-13
Last Update Date
2007-09-13
Business Address
-- JACKIE S TEARTT
1175 HOWARD ST
SAN FRANCISCO, CA 94103-3926
Phone number: 415-864-3057
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Mailing Address
-- JACKIE S TEARTT
1175 HOWARD ST
SAN FRANCISCO, CA 94103-3926
Phone number: 415-864-3057
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