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1053080523
LAUREN TANTILLO
SANTA ANA, CA
NPI
1053080523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA B00002130821)
Enumeration Date
2021-09-08
Last Update Date
2022-01-20
Business Address
LAUREN TANTILLO CADC-III, B.S.
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 407-310-9525
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Mailing Address
LAUREN TANTILLO CADC-III, B.S.
30302 ESPERANZA
RANCHO SANTA MARGARITA, CA 92688-2118
Phone number:
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