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1396129979
CARMEN CARLOS
LYNWOOD, CA
NPI
1396129979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-07-14
Last Update Date
2015-07-15
Business Address
-- CARMEN CARLOS B.A
11315 ATLANTIC AVE
LYNWOOD, CA 90262-3007
Phone number: 310-537-5883
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Mailing Address
-- CARMEN CARLOS B.A
11315 ATLANTIC AVE
LYNWOOD, CA 90262-3007
Phone number: 310-537-5883
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