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Individual

AURELIE CARINE CLIVAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
776 SO. STATE ST., SUITE 107, UKIAH, CA 95482
(707) 463-4915
(707) 463-4917
Mailing address
776 SO. STATE ST., SUITE 107, UKIAH, CA 95482
(707) 463-4915
(707) 463-4917

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/03/2014
Last updated
03/03/2014
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