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1174973291
CARLIE REGAN
DIAMOND SPRINGS, CA
NPI
1174973291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-06-20
Last Update Date
2023-05-19
Business Address
CARLIE REGAN
4250 FOWLER LN SUITE 204
DIAMOND SPRINGS, CA 95619-9781
Phone number: 530-295-1491
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Mailing Address
CARLIE REGAN
PO BOX 862
DIAMOND SPRINGS, CA 95619-0862
Phone number:
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