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1962880708
ANGELA FARRELL
MODESTO, CA
NPI
1962880708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-05-13
Last Update Date
2015-05-13
Business Address
-- ANGELA FARRELL
1700 MCHENRY VILLAGE WAY 16
MODESTO, CA 95350-4308
Phone number: 209-527-3270
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Mailing Address
-- ANGELA FARRELL
4008 WINCANTON RD
SALIDA, CA 95368-9722
Phone number: 209-527-3270
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