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1649683921
TINA MARIE THOMPSON
UKIAH, CA
NPI
1649683921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-T1309052030)
Enumeration Date
2014-06-04
Last Update Date
2014-10-22
Business Address
Ms. TINA MARIE THOMPSON
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2325
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Mailing Address
Ms. TINA MARIE THOMPSON
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2325
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