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1992316087
MARISSA JEAN WAITE
REDDING, CA
NPI
1992316087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
MARISSA JEAN WAITE
3648 EL PORTAL DR
REDDING, CA 96002-3133
Phone number: 530-722-1114
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Mailing Address
MARISSA JEAN WAITE
4141 JASPER WAY
REDDING, CA 96001-2951
Phone number: 530-691-3991
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