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1568977197
ELECTRA KM ESTRADA
SANTA ROSA, CA
NPI
1568977197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA D5375933)
Enumeration Date
2017-12-05
Last Update Date
2017-12-05
Business Address
ELECTRA KM ESTRADA CATC
3555 SONOMA HWY
SANTA ROSA, CA 95409-4024
Phone number: 707-526-3150
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Mailing Address
ELECTRA KM ESTRADA CATC
3555 SONOMA HWY
SANTA ROSA, CA 95409-4024
Phone number: 707-526-3150
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