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1972150514
TAMMI SUZANNE DE LONG
STOCKTON, CA
NPI
1972150514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-19
Last Update Date
2019-08-19
Business Address
TAMMI SUZANNE DE LONG AOD
1947 N CALIFORNIA ST STE B&C
STOCKTON, CA 95204-6029
Phone number: 209-463-0870
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Mailing Address
TAMMI SUZANNE DE LONG AOD
24631 MEADOW CREEK CT
ACAMPO, CA 95220-9668
Phone number: 209-642-1367
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