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1043762917
AMANDA LUIS
RIVERSIDE, CA
NPI
1043762917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-26
Last Update Date
2024-08-22
Business Address
AMANDA LUIS CADC II
2452 WILSHIRE ST
RIVERSIDE, CA 92501-2144
Phone number: 951-682-6631
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Mailing Address
AMANDA LUIS CADC II
2743 ORANGE ST
RIVERSIDE, CA 92501-2538
Phone number: 951-452-2029
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