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1760998777
MADISON VICTORIA KAIM
PLACERVILLE, CA
NPI
1760998777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-28
Last Update Date
2018-03-16
Business Address
MADISON VICTORIA KAIM
670 PLACERVILLE DR STE 2
PLACERVILLE, CA 95667-4200
Phone number: 530-644-2412
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Mailing Address
MADISON VICTORIA KAIM
670 PLACERVILLE DR STE 2
PLACERVILLE, CA 95667-4200
Phone number: 530-644-2412
Copy
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