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1649474164
HOLLY DIAZ-BACH
MODESTO, CA
NPI
1649474164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 0000)
Enumeration Date
2007-06-11
Last Update Date
2007-07-08
Business Address
Ms. HOLLY DIAZ-BACH
1116 ALICE ST
MODESTO, CA 95350-5905
Phone number: 209-578-3132
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Mailing Address
Ms. HOLLY DIAZ-BACH
PO BOX 1184
CERES, CA 95307-1184
Phone number: 209-505-9216
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