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1821422114
VIRGINIA T HARRIS
SANTA ROSA, CA
NPI
1821422114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 4308-R)
Enumeration Date
2013-08-22
Last Update Date
2013-08-22
Business Address
-- VIRGINIA T HARRIS
3315 AIRWAY DR
SANTA ROSA, CA 95403-2005
Phone number: 707-523-2242
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Mailing Address
-- VIRGINIA T HARRIS
3315 AIRWAY DR
SANTA ROSA, CA 95403-2005
Phone number: 707-523-2242
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