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1992287122
JEANNE-LOUISE SCOUT DENATALE
SAN RAFAEL, CA
NPI
1992287122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
JEANNE-LOUISE SCOUT DENATALE
13 PETER BEHR DR
SAN RAFAEL, CA 94903-5216
Phone number: 415-473-4137
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Mailing Address
JEANNE-LOUISE SCOUT DENATALE
13 PETER BEHR DR
SAN RAFAEL, CA 94903-5216
Phone number: 415-473-4137
Copy
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