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1548978588
HEATHER RENEE DICKEY
MODESTO, CA
NPI
1548978588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA r1441850821)
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
HEATHER RENEE DICKEY
416 CORSON AVE
MODESTO, CA 95350-5408
Phone number: 209-521-1805
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Mailing Address
HEATHER RENEE DICKEY
416 CORSON AVE
MODESTO, CA 95350-5408
Phone number: 209-521-1805
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