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1104056902
PENNY LEE
SANTA ANA, CA
NPI
1104056902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 11603)
Enumeration Date
2009-07-15
Last Update Date
2021-03-24
Business Address
PENNY LEE SUDCC II
2101 E 1ST ST
SANTA ANA, CA 92705-4007
Phone number: 714-542-3581
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Mailing Address
PENNY LEE SUDCC II
218 E COMMONWEALTH AVE
FULLERTON, CA 92832-1911
Phone number: 714-992-4770
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