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1114134046
TRACY WELLS
SAN DIEGO, CA
NPI
1114134046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A2002205)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- TRACY WELLS CADC-II
4690 GENESEE AVE
SAN DIEGO, CA 92117-3031
Phone number: 858-277-4633
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Mailing Address
-- TRACY WELLS CADC-II
13803 PINKARD WAY UNIT 14
EL CAJON, CA 92021-1964
Phone number: 619-993-8716
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