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1720296379
SUSAN HAVERTY
SACRAMENTO, CA
NPI
1720296379
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Entity Type
Organization
Authorized Contact
SUSAN HAVERTY
Counselor
916-355-8721
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA MFC44110)
Enumeration Date
2007-05-18
Last Update Date
2020-08-22
Business Address
SUSAN HAVERTY
3067 FREEPORT BLVD
SACRAMENTO, CA 95818-4347
Phone number: 916-355-8721
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Mailing Address
SUSAN HAVERTY
PO BOX 2842
RANCHO CORDOVA, CA 95741-2842
Phone number:
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