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1114278322
LORA LARSEN
GRASS VALLEY, CA
NPI
1114278322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA A8435003)
Enumeration Date
2012-09-27
Last Update Date
2012-09-27
Business Address
LORA LARSEN CADC-II, LAADC
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-273-9541
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Mailing Address
LORA LARSEN CADC-II, LAADC
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number:
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