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1912548033
ELIZABETH DENISE NELSON
MODESTO, CA
NPI
1912548033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C21131214)
Enumeration Date
2019-09-30
Last Update Date
2019-09-30
Business Address
ELIZABETH DENISE NELSON CADC-CAS
1405 11TH ST
MODESTO, CA 95354-0748
Phone number: 209-284-0970
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Mailing Address
ELIZABETH DENISE NELSON CADC-CAS
1030 CALIFORNIA AVE
MODESTO, CA 95351-2102
Phone number: 209-284-0970
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