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1790250587
FAYE LEONA FERGUSON-MANLY
CONCORD, CA
NPI
1790250587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-10-08
Last Update Date
2018-10-08
Business Address
FAYE LEONA FERGUSON-MANLY
2975 TREAT BLVD STE B5
CONCORD, CA 94518-3687
Phone number: 925-691-5083
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Mailing Address
FAYE LEONA FERGUSON-MANLY
2975 TREAT BLVD STE B5
CONCORD, CA 94518-3687
Phone number: 925-691-5083
Copy
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