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1992179311
MICHAEL WEBSTER
GRASS VALLEY, CA
NPI
1992179311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1214720915)
Enumeration Date
2015-11-23
Last Update Date
2015-11-23
Business Address
-- MICHAEL WEBSTER RADT-1
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-271-1140
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Mailing Address
-- MICHAEL WEBSTER RADT-1
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-271-1140
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