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1629254610
CAROLYN JETER
RICHMOND, CA
NPI
1629254610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-21
Last Update Date
2008-02-05
Business Address
-- CAROLYN JETER
820 23RD ST
RICHMOND, CA 94804-1338
Phone number: 510-229-5000
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Mailing Address
-- CAROLYN JETER
230 S 17TH ST
RICHMOND, CA 94804-2604
Phone number: 510-233-5828
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