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1669233847
STEPHANIE RENE ROSE
SAN JOSE, CA
NPI
1669233847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1476520722)
Enumeration Date
2024-01-16
Last Update Date
2024-01-16
Business Address
STEPHANIE RENE ROSE R1476520722
9505 MALECH DR
SAN JOSE, CA 95138-2002
Phone number: 408-281-6570
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Mailing Address
STEPHANIE RENE ROSE R1476520722
1922 THE ALAMEDA STE 316
SAN JOSE, CA 95126-1461
Phone number: 408-261-7777
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