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1386205847
MANDY LAFAVOR
BAKERSFIELD, CA
NPI
1386205847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1239450916)
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
MANDY LAFAVOR RADT1
1124 BAKER ST
BAKERSFIELD, CA 93305-4322
Phone number: 661-327-9376
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Mailing Address
MANDY LAFAVOR RADT1
1124 BAKER ST
BAKERSFIELD, CA 93305-4322
Phone number: 661-327-9376
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