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1508214057
ILONA MARCELLO
FORT BRAGG, CA
NPI
1508214057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 6818-R)
Enumeration Date
2016-05-25
Last Update Date
2016-05-25
Business Address
ILONA MARCELLO
790 S FRANKLIN ST
FORT BRAGG, CA 95437-5456
Phone number: 707-962-1106
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Mailing Address
ILONA MARCELLO
790 S FRANKLIN ST
FORT BRAGG, CA 95437-5456
Phone number:
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