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1962841379
DAVEEN LARAY FERGUSON
SACRAMENTO, CA
NPI
1962841379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 03-071975)
Enumeration Date
2013-06-19
Last Update Date
2013-06-19
Business Address
Ms. DAVEEN LARAY FERGUSON CAS 1
310 HARRIS AVE STE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
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Mailing Address
Ms. DAVEEN LARAY FERGUSON CAS 1
310 HARRIS AVE STE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
Copy
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