CAROLLYNE WINGRAVE

SANTA MARIA, CA
NPI1023143955
Former NameTAMARA ANN PATAGUE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-02-22
Last Update Date2007-07-08
Business Address
-- CAROLLYNE WINGRAVE
731 S LINCOLN ST
SANTA MARIA, CA 93458-6107
Phone number: 805-346-8185
Mailing Address
-- CAROLLYNE WINGRAVE
475 GOLDEN WEST PL
ARROYO GRANDE, CA 93420-3722
Phone number:
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