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1346676038
HEATHER LONGRIDGE
SAN PEDRO, CA
NPI
1346676038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-09-25
Last Update Date
2013-09-25
Business Address
-- HEATHER LONGRIDGE
599 W 9TH ST
SAN PEDRO, CA 90731-3105
Phone number: 310-831-0331
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Mailing Address
-- HEATHER LONGRIDGE
1285 1/2 W 22ND ST
SAN PEDRO, CA 90731-4928
Phone number: 310-999-9504
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