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1578728325
VENUS SHERRILL GOODWIN
FAIRFIELD, CA
NPI
1578728325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 01-047071)
Enumeration Date
2008-07-22
Last Update Date
2008-07-22
Business Address
Miss VENUS SHERRILL GOODWIN none
1143 MISSOURI ST
FAIRFIELD, CA 94533-6007
Phone number: 707-435-9911
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Mailing Address
Miss VENUS SHERRILL GOODWIN none
1143 MISSOURI ST
FAIRFIELD, CA 94533-6007
Phone number: 707-435-9911
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