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1801652300
ANDREA DENISE HARRIS
SAN RAFAEL, CA
NPI
1801652300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 16655)
Enumeration Date
2024-02-22
Last Update Date
2024-02-22
Business Address
Miss ANDREA DENISE HARRIS SUDRC#16655 10/27/23
1601 2ND ST
SAN RAFAEL, CA 94901-2712
Phone number: 415-459-2395
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Mailing Address
Miss ANDREA DENISE HARRIS SUDRC#16655 10/27/23
10 MILLAND DR APT C6
MILL VALLEY, CA 94941-4944
Phone number: 415-305-3800
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