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1962189951
MAURICE JOHN SIMON
SACRAMENTO, CA
NPI
1962189951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-30
Last Update Date
2023-06-30
Business Address
MAURICE JOHN SIMON SUDRC15465
650 HOWE AVE STE 200
SACRAMENTO, CA 95825-4732
Phone number: 916-378-9978
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Mailing Address
MAURICE JOHN SIMON SUDRC15465
8227 HAWAII LN
SACRAMENTO, CA 95828-4515
Phone number: 916-378-9978
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