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1811520851
AMANDA WALL
REDDING, CA
NPI
1811520851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
AMANDA WALL
3617 RICARDO AVE APT 1
REDDING, CA 96002-2653
Phone number: 530-722-1114
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Mailing Address
AMANDA WALL
3648 EL PORTAL DR
REDDING, CA 96002-3133
Phone number: 530-722-1114
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