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1538718366
WILHELMEINA LEE WADE
SACRAMENTO, CA
NPI
1538718366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1361360819)
Enumeration Date
2019-09-04
Last Update Date
2019-09-04
Business Address
WILHELMEINA LEE WADE RADT
1820 J ST
SACRAMENTO, CA 95811-3010
Phone number: 916-313-8434
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Mailing Address
WILHELMEINA LEE WADE RADT
1820 J ST
SACRAMENTO, CA 95811-3010
Phone number: 916-313-8434
Copy
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