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1568617447
MARENA KOUKIS
SANTA ROSA, CA
NPI
1568617447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-11-19
Last Update Date
2014-07-15
Business Address
-- MARENA KOUKIS
1300 CODDINGTOWN CTR
SANTA ROSA, CA 95401-3537
Phone number: 707-565-7640
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Mailing Address
-- MARENA KOUKIS
1300 CODDINGTOWN CTR
SANTA ROSA, CA 95401-3537
Phone number: 707-565-7640
Copy
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