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1003578469
LYDIA DEANNE VELASQUEZ
VICTORVILLE, CA
NPI
1003578469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1415640121)
Enumeration Date
2021-10-12
Last Update Date
2024-02-05
Business Address
Miss LYDIA DEANNE VELASQUEZ RADT
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
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Mailing Address
Miss LYDIA DEANNE VELASQUEZ RADT
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-487-3600
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