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1619303807
SUSAN LAURIE LAWSON
MODESTO, CA
NPI
1619303807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-09-19
Last Update Date
2013-09-19
Business Address
-- SUSAN LAURIE LAWSON
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
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Mailing Address
-- SUSAN LAURIE LAWSON
1844 SCENIC DR APT 237
MODESTO, CA 95355-6026
Phone number: 209-917-0890
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