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1689270241
COLLEEN SALLY
SANTA CRUZ, CA
NPI
1689270241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
COLLEEN SALLY
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
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Mailing Address
COLLEEN SALLY
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
Copy
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