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1528325164
ANITA LOUISE KIESEWETTER
GRASS VALLEY, CA
NPI
1528325164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-04-20
Last Update Date
2012-04-20
Business Address
-- ANITA LOUISE KIESEWETTER
440 HENDERSON ST STE C
GRASS VALLEY, CA 95945-7374
Phone number: 530-273-9541
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Mailing Address
-- ANITA LOUISE KIESEWETTER
14496 ECHO RIDGE DR
NEVADA CITY, CA 95959-9630
Phone number:
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