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1770163552
AMBER RAELENE TATE
WOODLAND HILLS, CA
NPI
1770163552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1415520121)
Enumeration Date
2021-04-14
Last Update Date
2021-04-14
Business Address
AMBER RAELENE TATE
6022 VARIEL AVE
WOODLAND HILLS, CA 91367-3719
Phone number: 818-996-1051
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Mailing Address
AMBER RAELENE TATE
6022 VARIEL AVE
WOODLAND HILLS, CA 91367-3719
Phone number: 818-996-1051
Copy
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