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1275937476
CAROL MARIE SIMON
INGLEWOOD, CA
NPI
1275937476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1109221736)
Enumeration Date
2014-10-16
Last Update Date
2014-10-16
Business Address
-- CAROL MARIE SIMON
323 N PRAIRIE AVE
INGLEWOOD, CA 90301-4502
Phone number: 310-846-2100
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Mailing Address
-- CAROL MARIE SIMON
24535 TOWN CENTER DR APT 6304
VALENCIA, CA 91355-0802
Phone number: 818-326-7302
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