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1972348670
TERRIE KHAMMAO
SAN DIEGO, CA
NPI
1972348670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 17990)
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
Business Address
TERRIE KHAMMAO
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105-1412
Phone number: 619-282-7274
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Mailing Address
TERRIE KHAMMAO
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105-1412
Phone number:
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