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1548732746
TERESA MICHELLE PENN
SAN LEANDRO, CA
NPI
1548732746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
TERESA MICHELLE PENN
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7845
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Mailing Address
TERESA MICHELLE PENN
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number:
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