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1972630226
SANDRA GONZALES-DIAZ
MERCED, CA
NPI
1972630226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 02-007792)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
-- SANDRA GONZALES-DIAZ CAS II
480 E 13TH ST
MERCED, CA 95340-6214
Phone number: 209-381-6800
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Mailing Address
-- SANDRA GONZALES-DIAZ CAS II
2190 PEBBLE BEACH CT
MERCED, CA 95340-0720
Phone number: 209-383-1176
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