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1588859680
SAORATH KONG
STOCKTON, CA
NPI
1588859680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-09-11
Last Update Date
2007-09-11
Business Address
Ms. SAORATH KONG
8626 LOWER SACRAMENTO RD SUITE 41
STOCKTON, CA 95210-1835
Phone number: 209-478-2487
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Mailing Address
Ms. SAORATH KONG
10622 SISKIYOU LANE
STOCKTON, CA 95209
Phone number: 209-323-4497
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