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1649785221
TERESA FORD
RIVERSIDE, CA
NPI
1649785221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C040241216)
Enumeration Date
2017-12-05
Last Update Date
2017-12-05
Business Address
TERESA FORD
2452 WILSHIRE ST
RIVERSIDE, CA 92501-2144
Phone number: 951-682-6631
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Mailing Address
TERESA FORD
2743 ORANGE ST
RIVERSIDE, CA 92501-2538
Phone number:
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