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1811514045
ANDREW ALAN DALE
NOVATO, CA
NPI
1811514045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14049-RAC)
Enumeration Date
2020-07-03
Last Update Date
2020-07-03
Business Address
ANDREW ALAN DALE
135 CIELO LN APT 303
NOVATO, CA 94949-3310
Phone number: 805-868-9086
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Mailing Address
ANDREW ALAN DALE
135 CIELO LN APT 303
NOVATO, CA 94949-3310
Phone number:
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