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1780255125
LORI JO BYE
SAN RAFAEL, CA
NPI
1780255125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1437090721)
Enumeration Date
2021-07-07
Last Update Date
2021-07-08
Business Address
LORI JO BYE R1437090721
13 PETER BEHR DR
SAN RAFAEL, CA 94903-5216
Phone number: 415-473-4119
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Mailing Address
LORI JO BYE R1437090721
13 PETER BEHR DR
SAN RAFAEL, CA 94903-5216
Phone number: 415-473-4119
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