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1952865602
DEBRA JEWEL MATHEWS
SACRAMENTO, CA
NPI
1952865602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1134620119)
Enumeration Date
2019-01-28
Last Update Date
2019-01-28
Business Address
DEBRA JEWEL MATHEWS RADT
3600 POWER INN RD
SACRAMENTO, CA 95826-3826
Phone number: 916-840-7872
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Mailing Address
DEBRA JEWEL MATHEWS RADT
4508 PINELL ST
SACRAMENTO, CA 95838-3022
Phone number: 916-807-5982
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