SUSIE STICH

SOUTH LAKE TAHOE, CA
NPI1194066738
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RS6489)
Enumeration Date2013-03-06
Last Update Date2013-03-06
Business Address
Miss SUSIE STICH RS6489
2494 LAKE TAHOE BLVD B-5
SOUTH LAKE TAHOE, CA 96150-7719
Phone number: 530-541-4594
Mailing Address
Miss SUSIE STICH RS6489
2494 LAKE TAHOE BLVD B5
SOUTH LAKE TAHOE, CA 96150-7719
Phone number: 530-541-4594
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