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1679937593
DANIEL CROSS
SANTA ROSA, CA
NPI
1679937593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-04-06
Last Update Date
2016-04-06
Business Address
-- DANIEL CROSS
144 S E ST
SANTA ROSA, CA 95404-4777
Phone number: 707-571-3809
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Mailing Address
-- DANIEL CROSS
144 S E ST
SANTA ROSA, CA 95404-4777
Phone number: 707-571-3809
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