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1740999358
ALICIA FAITH SACKETT
SANTA CRUZ, CA
NPI
1740999358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 101YA0400X)
Enumeration Date
2022-11-22
Last Update Date
2022-11-22
Business Address
ALICIA FAITH SACKETT
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
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Mailing Address
ALICIA FAITH SACKETT
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
Copy
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