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1982376174
AMANDA MITCHELL
FAIRFIELD, CA
NPI
1982376174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15066)
Enumeration Date
2021-10-05
Last Update Date
2021-10-05
Business Address
Ms. AMANDA MITCHELL
609 JEFFERSON ST
FAIRFIELD, CA 94533-6293
Phone number: 707-399-9190
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Mailing Address
Ms. AMANDA MITCHELL
609 JEFFERSON ST
FAIRFIELD, CA 94533-6293
Phone number: 707-399-9190
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