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1114657459
TAMMY SUE ELMBLAD
VICTORVILLE, CA
NPI
1114657459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1469300522)
Enumeration Date
2022-06-10
Last Update Date
2022-06-10
Business Address
TAMMY SUE ELMBLAD
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
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Mailing Address
TAMMY SUE ELMBLAD
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
Copy
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