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1760929657
TAREY SHANNON GRAVES-WRIGHT
VACAVILLE, CA
NPI
1760929657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2017-01-30
Last Update Date
2017-01-30
Business Address
TAREY SHANNON GRAVES-WRIGHT
1286 CALLEN ST
VACAVILLE, CA 95688-3002
Phone number: 707-447-8982
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Mailing Address
TAREY SHANNON GRAVES-WRIGHT
1649 DOVER AVE
FAIRFIELD, CA 94533-4042
Phone number: 707-712-4277
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