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1528257136
SUSAN E WILLEY
SOUTH LAKE TAHOE, CA
NPI
1528257136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-19
Last Update Date
2007-10-19
Business Address
Mrs. SUSAN E WILLEY
921 MACINAW RD 2
SOUTH LAKE TAHOE, CA 96150-3525
Phone number: 530-541-5440
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Mailing Address
Mrs. SUSAN E WILLEY
921 MACINAW RD 2
SOUTH LAKE TAHOE, CA 96150-3525
Phone number: 530-541-5440
Copy
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