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1598540247
CHARLIE JOANNE LADISLAO
SANTA ANA, CA
NPI
1598540247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 278921)
Enumeration Date
2023-08-30
Last Update Date
2023-08-30
Business Address
CHARLIE JOANNE LADISLAO
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 714-953-9373
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Mailing Address
CHARLIE JOANNE LADISLAO
2030 E WILSHIRE AVE APT A
FULLERTON, CA 92831-4149
Phone number: 323-359-4242
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