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1063753648
MISTY DAWN DEE
SOUTH LAKE TAHOE, CA
NPI
1063753648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA D1012011415)
Enumeration Date
2013-03-07
Last Update Date
2013-03-07
Business Address
Miss MISTY DAWN DEE CSAC II
2494 LAKE TAHOE BLVD SUITE B-5
SOUTH LAKE TAHOE, CA 96151-7509
Phone number: 530-541-4594
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Mailing Address
Miss MISTY DAWN DEE CSAC II
PO BOX 17509
SOUTH LAKE TAHOE, CA 96151-7509
Phone number: 530-541-4594
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