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1154160034
MARY ALEXANDRA CARLSON
VICTORVILLE, CA
NPI
1154160034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1529621023)
Enumeration Date
2024-05-21
Last Update Date
2024-05-21
Business Address
MARY ALEXANDRA CARLSON
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-487-3600
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Mailing Address
MARY ALEXANDRA CARLSON
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-487-3600
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