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1902039795
TERESA LAVERNE EARLES
SACRAMENTO, CA
NPI
1902039795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-08-27
Last Update Date
2009-08-27
Business Address
-- TERESA LAVERNE EARLES RS
4441 AUBURN BLVD
SACRAMENTO, CA 95841-4139
Phone number: 916-473-5764
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Mailing Address
-- TERESA LAVERNE EARLES RS
3602 MAGPIE LN
NORTH HIGHLANDS, CA 95660-5117
Phone number: 916-332-5830
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