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1679809404
SUSAN DORINE HACKING
REDDING, CA
NPI
1679809404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-10-29
Last Update Date
2009-10-29
Business Address
-- SUSAN DORINE HACKING
1506 MARKET ST
REDDING, CA 96001-1023
Phone number: 530-245-6411
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Mailing Address
-- SUSAN DORINE HACKING
1506 MARKET ST
REDDING, CA 96001-1023
Phone number: 530-245-6411
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