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1700109865
ROXY RAE WALNUM
SAN DIEGO, CA
NPI
1700109865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-03-03
Last Update Date
2010-03-03
Business Address
-- ROXY RAE WALNUM M.A., R.A.S.
3940 HOME AVE
SAN DIEGO, CA 92105-5952
Phone number: 619-262-8000
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Mailing Address
-- ROXY RAE WALNUM M.A., R.A.S.
3776 CARVEACRE RD
ALPINE, CA 91901-4429
Phone number: 619-972-8554
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