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1386062321
CHARLENE SQUIRES
SANTA MARIA, CA
NPI
1386062321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2014-04-05
Last Update Date
2014-04-05
Business Address
CHARLENE SQUIRES
115 E FESLER ST
SANTA MARIA, CA 93454-4404
Phone number: 805-922-6597
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Mailing Address
CHARLENE SQUIRES
115 E FESLER ST
SANTA MARIA, CA 93454-4404
Phone number: 805-922-6597
Copy
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