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1093039943
LY LY
FRESNO, CA
NPI
1093039943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-03-22
Last Update Date
2010-03-22
Business Address
-- LY LY
1235 E ST
FRESNO, CA 93706-2024
Phone number: 559-268-6261
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Mailing Address
-- LY LY
1235 E ST
FRESNO, CA 93706-2024
Phone number: 559-268-6261
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