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1902576994
KATHERINE WILKES
GRASS VALLEY, CA
NPI
1902576994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-09-20
Last Update Date
2021-09-20
Business Address
KATHERINE WILKES RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-878-5166
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Mailing Address
KATHERINE WILKES RADT
PO BOX 6028
AUBURN, CA 95604-6028
Phone number: 530-878-5166
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