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1487195939
CAROLINA DAVIDSON
VAN NUYS, CA
NPI
1487195939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-03-16
Last Update Date
2017-03-16
Business Address
-- CAROLINA DAVIDSON
6166 VESPER AVE
VAN NUYS, CA 91411-2851
Phone number: 818-997-0414
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Mailing Address
-- CAROLINA DAVIDSON
6166 VESPER AVE
VAN NUYS, CA 91411-2851
Phone number: 818-997-0414
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