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1639603988
LACEY CARSON
UPLAND, CA
NPI
1639603988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
-- LACEY CARSON
1260 E ARROW HWY
UPLAND, CA 91786-4982
Phone number: 909-932-1069
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Mailing Address
-- LACEY CARSON
1260 E ARROW HWY
UPLAND, CA 91786-4982
Phone number: 909-932-1069
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