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1013640861
TEDDI LYNN MCELVAIN
RIVERSIDE, CA
NPI
1013640861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1464950422)
Enumeration Date
2022-07-07
Last Update Date
2022-07-07
Business Address
TEDDI LYNN MCELVAIN R1464950422
4750 PALM AVE
RIVERSIDE, CA 92501-4012
Phone number: 951-686-0021
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Mailing Address
TEDDI LYNN MCELVAIN R1464950422
6096 RIVERSIDE AVE APT 33
RIVERSIDE, CA 92506-2111
Phone number: 760-275-7037
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