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1114149820
LORI HAUGEN
GRASS VALLEY, CA
NPI
1114149820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- LORI HAUGEN
303 BENNETT ST
GRASS VALLEY, CA 95945-6804
Phone number: 530-271-1140
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Mailing Address
-- LORI HAUGEN
PO BOX 1511
CEDAR RIDGE, CA 95924-1511
Phone number: 530-271-1140
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