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1447875844
ALYSSA NATALIE MARTIN
TRABUCO CANYON, CA
NPI
1447875844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1396230720)
Enumeration Date
2020-06-11
Last Update Date
2020-11-17
Business Address
ALYSSA NATALIE MARTIN RADT
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Phone number: 818-582-8832
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Mailing Address
ALYSSA NATALIE MARTIN RADT
24016 ELROND LN
LAKE FOREST, CA 92630-3649
Phone number: 949-520-8855
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