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1912621657
GINNY DEEGAN
BERKELEY, CA
NPI
1912621657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2022-09-27
Last Update Date
2022-09-27
Business Address
GINNY DEEGAN
1820 SCENIC AVE
BERKELEY, CA 94709-1324
Phone number: 510-428-7270
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Mailing Address
GINNY DEEGAN
1820 SCENIC AVE
BERKELEY, CA 94709-1324
Phone number: 510-548-7270
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