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1992397582
ROBERTA A HENRY
SANTA CRUZ, CA
NPI
1992397582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-02-05
Last Update Date
2021-02-05
Business Address
ROBERTA A HENRY
8030 SOQUEL AVE STE 103
SANTA CRUZ, CA 95062-2096
Phone number: 831-476-1747
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Mailing Address
ROBERTA A HENRY
105 WINFIELD WAY
APTOS, CA 95003-4528
Phone number: 831-222-5636
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