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1124780788
ANDREA MARIA SELIA LAZALDE
FRESNO, CA
NPI
1124780788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1234)
Enumeration Date
2021-10-12
Last Update Date
2021-10-12
Business Address
ANDREA MARIA SELIA LAZALDE
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9040
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Mailing Address
ANDREA MARIA SELIA LAZALDE
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9040
Copy
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