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1043095987
TANJA SKOUSEN
SAN DIEGO, CA
NPI
1043095987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15033)
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
TANJA SKOUSEN SUDRC
4125 ALPHA ST
SAN DIEGO, CA 92113-4553
Phone number: 619-266-0166
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Mailing Address
TANJA SKOUSEN SUDRC
4125 ALPHA ST
SAN DIEGO, CA 92113-4553
Phone number: 619-266-0166
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