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1649459546
KIMBERLY ANN WHITE
LODI, CA
NPI
1649459546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 6427)
Enumeration Date
2007-10-26
Last Update Date
2017-02-16
Business Address
-- KIMBERLY ANN WHITE
441 S. HAM LANE SUITE A
LODI, CA 95242
Phone number: 209-224-8940
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Mailing Address
-- KIMBERLY ANN WHITE
441 S. HAM LN SUITE A
LODI, CA 95242
Phone number: 209-224-8940
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