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1992194245
KEVIN EDWARD STONE
SACRAMENTO, CA
NPI
1992194245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C4171214)
Enumeration Date
2015-01-09
Last Update Date
2020-07-14
Business Address
Mr. KEVIN EDWARD STONE C4171214
1914 22ND AVE
SACRAMENTO, CA 95816
Phone number: 916-455-6258
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Mailing Address
Mr. KEVIN EDWARD STONE C4171214
PO BOX 1666
PLACERVILLE, CA 95667-1666
Phone number: 530-626-9240
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