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1639541394
DYNESE LEE ADDOTTA
MODESTO, CA
NPI
1639541394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A1007271038)
Enumeration Date
2015-10-21
Last Update Date
2015-10-21
Business Address
Ms. DYNESE LEE ADDOTTA CATC
1520 GOLDENWOOD DR
MODESTO, CA 95350-3865
Phone number: 209-552-6964
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Mailing Address
Ms. DYNESE LEE ADDOTTA CATC
925 LAKEVILLE ST SUITE 322
PETALUMA, CA 94952-3329
Phone number: 760-994-4990
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