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1467786178
SUSANNE GRACE EDWARDS
RESEDA, CA
NPI
1467786178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-09-28
Last Update Date
2009-09-28
Business Address
Ms. SUSANNE GRACE EDWARDS
19231 VICTORY BLVD SUITE 554
RESEDA, CA 91335-6308
Phone number: 818-776-1755
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Mailing Address
Ms. SUSANNE GRACE EDWARDS
18231 SHEPLEY PL
NORTHRIDGE, CA 91326-3219
Phone number: 818-642-2502
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