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1609091636
WILLIE THOMAS
SACRAMENTO, CA
NPI
1609091636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
-- WILLIE THOMAS
7225 E SOUTHGATE DR
SACRAMENTO, CA 95823-2620
Phone number: 916-394-1000
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Mailing Address
-- WILLIE THOMAS
7225 E SOUTHGATE DR
SACRAMENTO, CA 95823-2620
Phone number: 916-394-1000
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