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1407920663
IDA CARLSON
CAMARILLO, CA
NPI
1407920663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2006-11-20
Last Update Date
2023-12-01
Business Address
Ms. IDA CARLSON
3601 CALLE TECATE STE 201
CAMARILLO, CA 93012-5056
Phone number: 805-794-6574
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Mailing Address
Ms. IDA CARLSON
3601 CALLE TECATE STE 201
CAMARILLO, CA 93012-5056
Phone number: 805-798-6574
Copy
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