DAVID RAESE

MODESTO, CA
NPI1760264915
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  15389)
Enumeration Date2023-10-20
Last Update Date2023-10-20
Business Address
DAVID RAESE SUDRC#15389
1101 SYLVAN AVE STE C103
MODESTO, CA 95350-1687
Phone number: 209-758-7477
Mailing Address
DAVID RAESE SUDRC#15389
1101 SYLVAN AVE STE C103
MODESTO, CA 95350-1687
Phone number: 209-758-7477
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