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1568740249
ANNETTA GRADEN
HAYWARD, CA
NPI
1568740249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-07-28
Last Update Date
2011-07-28
Business Address
-- ANNETTA GRADEN
107 JACKSON ST
HAYWARD, CA 94544-1948
Phone number: 510-886-8696
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Mailing Address
-- ANNETTA GRADEN
4579 CARMEN WAY
UNION CITY, CA 94587-4831
Phone number:
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