SANDRA MARIE BLACK

CERES, CA
NPI1871793539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  374700000)
Enumeration Date2007-07-20
Last Update Date2007-07-20
Business Address
-- SANDRA MARIE BLACK B A
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-541-2155
Mailing Address
-- SANDRA MARIE BLACK B A
1601 MARAZZI LN
CERES, CA 95307-9104
Phone number: 209-541-0135
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