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1568746071
SUSAN THERESA LANG
MARYSVILLE, CA
NPI
1568746071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA VN141243)
Enumeration Date
2011-10-03
Last Update Date
2011-10-03
Business Address
SUSAN THERESA LANG LVN
1496 N BEALE RD
MARYSVILLE, CA 95901-6205
Phone number: 530-749-8640
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Mailing Address
SUSAN THERESA LANG LVN
11249 OAK CANYON DR
PENN VALLEY, CA 95946-9399
Phone number: 530-749-8640
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