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1205513140
ADAM JOSEPH LAVALLEE
LANCASTER, CA
NPI
1205513140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 2211232i)
Enumeration Date
2023-07-03
Last Update Date
2023-07-03
Business Address
ADAM JOSEPH LAVALLEE
1066 E AVENUE J
LANCASTER, CA 93535-3870
Phone number: 661-942-1026
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Mailing Address
ADAM JOSEPH LAVALLEE
1066 E AVENUE J
LANCASTER, CA 93535-3870
Phone number: 661-942-1026
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