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1336361971
LADY LAURA CARVAJAL
FRESNO, CA
NPI
1336361971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- LADY LAURA CARVAJAL
3707 E. SHIELDS AVE.
FRESNO, CA 93726
Phone number: 559-229-9040
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Mailing Address
-- LADY LAURA CARVAJAL
4916 N. 9TH STREET APT 109
FRESNO, CA 93726
Phone number: 559-801-2732
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