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1104005784
JULIE HIGGINBOTHAM
FULLERTON, CA
NPI
1104005784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-30
Last Update Date
2007-10-30
Business Address
-- JULIE HIGGINBOTHAM
218 E COMMONWEALTH AVE
FULLERTON, CA 92832-1911
Phone number: 714-992-4770
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Mailing Address
-- JULIE HIGGINBOTHAM
120 N MAGNOLIA AVE APT 67
ANAHEIM, CA 92801-6449
Phone number: 714-225-5924
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