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1952915076
ANTHONY SOUZA
ROSEVILLE, CA
NPI
1952915076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-09-04
Last Update Date
2020-09-04
Business Address
ANTHONY SOUZA
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
ANTHONY SOUZA
2515 HUCKLEBERRY CIR
WEST SACRAMENTO, CA 95691-4555
Phone number:
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