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1447412010
MARISOL MALDONADO
LAKE VIEW TERRACE, CA
NPI
1447412010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-M0801291523)
Enumeration Date
2008-06-25
Last Update Date
2008-06-25
Business Address
Miss MARISOL MALDONADO
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 818-686-3190
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Mailing Address
Miss MARISOL MALDONADO
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 818-626-3190
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