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1871321315
TERINA MELODY BAILEY
FAIRFIELD, CA
NPI
1871321315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 18385)
Enumeration Date
2024-07-25
Last Update Date
2024-07-25
Business Address
TERINA MELODY BAILEY SUDRC
1234 TRAVIS BLVD
FAIRFIELD, CA 94533-4802
Phone number: 707-399-9190
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Mailing Address
TERINA MELODY BAILEY SUDRC
609 JEFFERSON ST
FAIRFIELD, CA 94533-6293
Phone number: 707-399-9190
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