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1205962669
CAROL LOUINE MANSFIELD
CLEARLAKE, CA
NPI
1205962669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-M0701032214)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
-- CAROL LOUINE MANSFIELD RI
14709 LAKESHORE DRIVE
CLEARLAKE, CA 95422
Phone number: 707-995-3235
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Mailing Address
-- CAROL LOUINE MANSFIELD RI
1830 LINCOLN AVE PO BOX 1164
CALISTOGA, CA 94515-1115
Phone number: 707-942-1179
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