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1558195487
TEARIANA LEACH
GARDEN GROVE, CA
NPI
1558195487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1576790824)
Enumeration Date
2024-09-02
Last Update Date
2024-09-02
Business Address
TEARIANA LEACH RADT
12781 JOSEPHINE ST
GARDEN GROVE, CA 92841-4622
Phone number: 714-867-6366
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Mailing Address
TEARIANA LEACH RADT
16092 FELTHAM CIR
WESTMINSTER, CA 92683-7620
Phone number: 405-981-9883
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