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1467576033
MAISY ELIZABETH AVILA
MODESTO, CA
NPI
1467576033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
-- MAISY ELIZABETH AVILA CAARR
2216 MILLCREEK DR
MODESTO, CA 95351-4891
Phone number: 209-596-1681
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Mailing Address
-- MAISY ELIZABETH AVILA CAARR
2216 MILLCREEK DR
MODESTO, CA 95351-4891
Phone number: 209-596-1681
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