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1952144776
CHANTENIQUE ANDERSON
CERES, CA
NPI
1952144776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1560150524)
Enumeration Date
2024-06-18
Last Update Date
2024-06-18
Business Address
CHANTENIQUE ANDERSON
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7411
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Mailing Address
CHANTENIQUE ANDERSON
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7442
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