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1831266626
MIGUEL ANGEL JUAREZ
FAIRFIELD, CA
NPI
1831266626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 20005046536)
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
Mr. MIGUEL ANGEL JUAREZ M.A,
1143 MISSOURI ST
FAIRFIELD, CA 94533-6007
Phone number: 707-435-9911
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Mailing Address
Mr. MIGUEL ANGEL JUAREZ M.A,
20 19TH ST
RICHMOND, CA 94801-3618
Phone number: 415-410-5267
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