ELIZABETH FEDOR

SOUTH LAKE TAHOE, CA
NPI1467656645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV  148 L)
Enumeration Date2007-06-12
Last Update Date2007-07-08
Business Address
Mrs. ELIZABETH FEDOR LADC
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150-6207
Phone number: 530-541-5190
Mailing Address
Mrs. ELIZABETH FEDOR LADC
PO BOX 14269
SOUTH LAKE TAHOE, CA 96151-4269
Phone number: 530-544-5374
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