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1578122917
HOLLY IRENE TRACY
SAN DIEGO, CA
NPI
1578122917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-10
Last Update Date
2019-06-10
Business Address
HOLLY IRENE TRACY
4125 ALPHA ST
SAN DIEGO, CA 92113-4553
Phone number: 619-266-0166
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Mailing Address
HOLLY IRENE TRACY
4125 ALPHA ST
SAN DIEGO, CA 92113-4553
Phone number: 619-266-0166
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