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1407374994
TRACEY MICHELLE CARRASCO
BAKERSFIELD, CA
NPI
1407374994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12087-R)
Enumeration Date
2017-09-05
Last Update Date
2022-07-21
Business Address
TRACEY MICHELLE CARRASCO
1010 1/2 S UNION AVE
BAKERSFIELD, CA 93307-3642
Phone number: 661-321-0234
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Mailing Address
TRACEY MICHELLE CARRASCO
1010 1/2 S UNION AVE
BAKERSFIELD, CA 93307-3642
Phone number: 661-321-0234
Copy
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