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1144042888
LAUREN YVONNE HALLIWELL
SAN JOSE, CA
NPI
1144042888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1580460924)
Enumeration Date
2024-10-24
Last Update Date
2024-10-24
Business Address
LAUREN YVONNE HALLIWELL RADT R1580460924
9500 MALECH DR
SAN JOSE, CA 95138-2004
Phone number: 408-281-6555
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Mailing Address
LAUREN YVONNE HALLIWELL RADT R1580460924
9500 MALECH DR
SAN JOSE, CA 95138-2004
Phone number: 408-281-6555
Copy
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