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1912615790
DEJAH DOUGLAS
HAYWARD, CA
NPI
1912615790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
DEJAH DOUGLAS
682 BRIERGATE WAY
HAYWARD, CA 94544-7245
Phone number: 510-487-2910
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Mailing Address
DEJAH DOUGLAS
682 BRIERGATE WAY
HAYWARD, CA 94544-7245
Phone number: 510-487-2910
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