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1609014380
TERESA LYNN LANE
SOUTH LAKE TAHOE, CA
NPI
1609014380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA B4608233)
Enumeration Date
2009-02-03
Last Update Date
2009-02-24
Business Address
Ms. TERESA LYNN LANE
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150-6207
Phone number: 530-541-5190
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Mailing Address
Ms. TERESA LYNN LANE
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150-6207
Phone number: 530-541-5190
Copy
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