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1508321514
SELENE PEARL BAZARNICK
SANTA CRUZ, CA
NPI
1508321514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-04
Last Update Date
2019-02-04
Business Address
SELENE PEARL BAZARNICK
707 FAIR AVE
SANTA CRUZ, CA 98060
Phone number: 831-427-1007
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Mailing Address
SELENE PEARL BAZARNICK
707 FAIR AVE
SANTA CRUZ, CA 98060
Phone number: 831-427-1007
Copy
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