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1912400490
DARLENE GRADY
CARMICHAEL, CA
NPI
1912400490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R119560115)
Enumeration Date
2018-03-12
Last Update Date
2018-03-12
Business Address
DARLENE GRADY RADT-1
6127 FAIR OAKS BLVD
CARMICHAEL, CA 95608-4818
Phone number: 916-974-8090
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Mailing Address
DARLENE GRADY RADT-1
6127 FAIR OAKS BLVD
CARMICHAEL, CA 95608-4818
Phone number: 916-974-8090
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