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1730424219
JENNY MARIE GRISSOM
UKIAH, CA
NPI
1730424219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-G1004211925)
Enumeration Date
2012-12-10
Last Update Date
2012-12-10
Business Address
Mrs. JENNY MARIE GRISSOM
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2637
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Mailing Address
Mrs. JENNY MARIE GRISSOM
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number:
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