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1982893335
TABITHA SPRAGUE
MODESTO, CA
NPI
1982893335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C14391214)
Enumeration Date
2007-10-22
Last Update Date
2023-09-14
Business Address
Mrs. TABITHA SPRAGUE
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-525-5313
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Mailing Address
Mrs. TABITHA SPRAGUE
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-525-5313
Copy
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