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1538913710
ADELAYDA MICHELLE CANIZALES
SAN RAFAEL, CA
NPI
1538913710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 17997)
Enumeration Date
2024-04-15
Last Update Date
2024-04-15
Business Address
ADELAYDA MICHELLE CANIZALES
135 PAUL DR
SAN RAFAEL, CA 94903-2023
Phone number: 415-526-7809
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Mailing Address
ADELAYDA MICHELLE CANIZALES
135 PAUL DR
SAN RAFAEL, CA 94903-2023
Phone number: 415-526-7809
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