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1457085029
ALYSCIA ICARDO
FOWLER, CA
NPI
1457085029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-07-11
Last Update Date
2022-07-11
Business Address
ALYSCIA ICARDO
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-776-8639
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Mailing Address
ALYSCIA ICARDO
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-776-8639
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