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1821712886
JUANITA MACIAS
FRESNO, CA
NPI
1821712886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA SUDRC12558)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
JUANITA MACIAS
539 N VAN NESS AVE
FRESNO, CA 93728-3419
Phone number: 559-266-9581
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Mailing Address
JUANITA MACIAS
539 N VAN NESS AVE
FRESNO, CA 93728-3419
Phone number: 559-266-9581
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