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1902562218
DOMINIQUE CECCON
SAN DIEGO, CA
NPI
1902562218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1447821021)
Enumeration Date
2021-11-10
Last Update Date
2023-05-04
Business Address
DOMINIQUE CECCON SUD
1250 6TH AVE STE 100
SAN DIEGO, CA 92101-4368
Phone number: 619-515-2430
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Mailing Address
DOMINIQUE CECCON SUD
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
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