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1922306752
TASHA THIBODEAUX
OAKLAND, CA
NPI
1922306752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-03-02
Last Update Date
2011-03-02
Business Address
Ms. TASHA THIBODEAUX
1411 E 31ST ST
OAKLAND, CA 94602-1018
Phone number: 510-437-5192
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Mailing Address
Ms. TASHA THIBODEAUX
1411 E 31ST ST
OAKLAND, CA 94602-1018
Phone number: 510-437-5192
Copy
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