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1003147497
YVETTE WATERWORTH
PALMDALE, CA
NPI
1003147497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-01-25
Last Update Date
2010-01-25
Business Address
-- YVETTE WATERWORTH
2720 E PALMDALE BLVD
PALMDALE, CA 93550-4930
Phone number: 661-947-3333
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Mailing Address
-- YVETTE WATERWORTH
26460 SUMMIT CIR
SANTA CLARITA, CA 91350-2991
Phone number:
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