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1740881952
MAURICE DETHANIEL BAILEY
SACRAMENTO, CA
NPI
1740881952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
MR. MAURICE DETHANIEL BAILEY
7000 FRANKLIN BLVD STE 625
SACRAMENTO, CA 95823
Phone number: 916-388-9418
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Mailing Address
MR. MAURICE DETHANIEL BAILEY
6143 VIA CASITAS
CARMICHAEL, CA 95608
Phone number: 916-224-7097
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