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1780224808
LISA GONSALVES
SACRAMENTO, CA
NPI
1780224808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1374071219)
Enumeration Date
2020-01-07
Last Update Date
2022-10-19
Business Address
LISA GONSALVES
310 HARRIS AVE STE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
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Mailing Address
LISA GONSALVES
310 HARRIS AVE STE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
Copy
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