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1134712169
TARA MARIE STADEL
ORANGE, CA
NPI
1134712169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 2113227)
Enumeration Date
2021-02-20
Last Update Date
2022-01-19
Business Address
TARA MARIE STADEL
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 657-933-4101
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Mailing Address
TARA MARIE STADEL
24016 ELROND LN
LAKE FOREST, CA 92630-3649
Phone number: 949-534-4711
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