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1669144721
KATHLEEN BONGE
SACRAMENTO, CA
NPI
1669144721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA c28341214)
Enumeration Date
2021-09-28
Last Update Date
2021-09-28
Business Address
KATHLEEN BONGE CADC-CAS
7240 E SOUTHGATE DR STE G
SACRAMENTO, CA 95823-2627
Phone number: 916-391-4293
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Mailing Address
KATHLEEN BONGE CADC-CAS
7240 E SOUTHGATE DR STE G
SACRAMENTO, CA 95823-2627
Phone number: 916-391-4293
Copy
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