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1699813469
ROSE MARIE WEAVER
CLEARLAKE, CA
NPI
1699813469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A3727897)
Enumeration Date
2007-02-02
Last Update Date
2009-10-05
Business Address
Ms. ROSE MARIE WEAVER CADC-II
15850 A DAM ROAD
CLEARLAKE, CA 95422
Phone number: 707-994-6447
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Mailing Address
Ms. ROSE MARIE WEAVER CADC-II
16425 DAM RD SPC 39
CLEARLAKE, CA 95422-9787
Phone number: 707-995-3235
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