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1114692290
MYKAYLA SWANSON
TRABUCO CANYON, CA
NPI
1114692290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1436150621)
Enumeration Date
2021-08-11
Last Update Date
2022-12-08
Business Address
MYKAYLA SWANSON RADT
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Phone number: 818-582-8832
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Mailing Address
MYKAYLA SWANSON RADT
5880 LOCHMOOR DR
RIVERSIDE, CA 92507-8506
Phone number: 951-666-9147
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