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1952150088
OPAL JAMELIA MACK
HAYWARD, CA
NPI
1952150088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-05-13
Last Update Date
2024-05-13
Business Address
OPAL JAMELIA MACK
682 BRIERGATE WAY
HAYWARD, CA 94544-7245
Phone number: 510-547-1531
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Mailing Address
OPAL JAMELIA MACK
682 BRIERGATE WAY
HAYWARD, CA 94544-7245
Phone number:
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