KIERAN ROOT

FULLERTON, CA
NPI1255934022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1408231020)
Enumeration Date2020-11-16
Last Update Date2020-11-16
Business Address
KIERAN ROOT R1408231020
771 W ORANGETHORPE AVE
FULLERTON, CA 92832-2806
Phone number: 714-879-0929
Mailing Address
KIERAN ROOT R1408231020
771 W ORANGETHORPE AVE
FULLERTON, CA 92832-2806
Phone number: 714-879-0929
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