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1477241883
GARDENIA MAITE ESTRADA
LANCASTER, CA
NPI
1477241883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-04-25
Last Update Date
2023-04-25
Business Address
GARDENIA MAITE ESTRADA
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
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Mailing Address
GARDENIA MAITE ESTRADA
7425 SEPULVEDA BLVD
VAN NUYS, CA 91405
Phone number: 661-844-0347
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