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1588397103
TRACY PHILLIPS
SANTA ANA, CA
NPI
1588397103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: 135374)
Enumeration Date
2022-07-01
Last Update Date
2022-07-01
Business Address
TRACY PHILLIPS
2750 S HARBOR BLVD STE G
SANTA ANA, CA 92704-5820
Phone number: 866-746-1558
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Mailing Address
TRACY PHILLIPS
2750 S HARBOR BLVD STE G
SANTA ANA, CA 92704-5820
Phone number: 866-746-1558
Copy
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