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1710203559
SUSAN HENNESSY
OCEANSIDE, CA
NPI
1710203559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-04-19
Last Update Date
2010-04-19
Business Address
Ms. SUSAN HENNESSY
940 VINE ST NO. 206
OCEANSIDE, CA 92054-4278
Phone number: 760-780-8419
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Mailing Address
Ms. SUSAN HENNESSY
940 VINE STREET NO. 206
OCEANSIDE, CALIFORNIA 92054
Phone number:
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