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1952775868
NICHOLE LE ANN MARTIN
SACRAMENTO, CA
NPI
1952775868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C6211214)
Enumeration Date
2015-11-17
Last Update Date
2017-12-07
Business Address
NICHOLE LE ANN MARTIN CAADAC-CAS
2100 CAPITOL AVE
SACRAMENTO, CA 95816-5721
Phone number: 916-442-4985
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Mailing Address
NICHOLE LE ANN MARTIN CAADAC-CAS
2100 CAPITOL AVE
SACRAMENTO, CA 95816-5721
Phone number: 916-442-4985
Copy
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