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1245003821
KENDRA RUBY LAICA
PASADENA, CA
NPI
1245003821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1535961123)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
KENDRA RUBY LAICA
1245 E WALNUT ST STE 117
PASADENA, CA 91106-5129
Phone number: 626-422-0558
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Mailing Address
KENDRA RUBY LAICA
1245 E WALNUT ST STE 117
PASADENA, CA 91106-5129
Phone number: 626-422-0558
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