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1780173427
ANGELA TERESE BERKOWITZ
MODESTO, CA
NPI
1780173427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1239111216)
Enumeration Date
2018-05-08
Last Update Date
2018-05-08
Business Address
Mrs. ANGELA TERESE BERKOWITZ RADT-I
1405 11TH ST
MODESTO, CA 95354-0748
Phone number: 209-988-5395
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Mailing Address
Mrs. ANGELA TERESE BERKOWITZ RADT-I
2132 NOELLE CT
MODESTO, CA 95355-9159
Phone number: 209-988-5395
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