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1881094050
DIANE MARYIE THOMPSON
TULARE, CA
NPI
1881094050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA L15046065)
Enumeration Date
2014-08-25
Last Update Date
2021-11-23
Business Address
DIANE MARYIE THOMPSON SUDCC II
559 E BARDSLEY AVE
TULARE, CA 93274-5400
Phone number: 559-688-7531
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Mailing Address
DIANE MARYIE THOMPSON SUDCC II
559 E BARDSLEY AVE
TULARE, CA 93274-5400
Phone number: 559-688-7531
Copy
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