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1720633589
LAYLA R CALLAHAN
GRASS VALLEY, CA
NPI
1720633589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1338330219)
Enumeration Date
2019-08-07
Last Update Date
2020-06-26
Business Address
LAYLA R CALLAHAN RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-885-1917
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Mailing Address
LAYLA R CALLAHAN RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-885-1917
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