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1639748841
SUMMER LUCILLE CHILD
REDDING, CA
NPI
1639748841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 34359)
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
SUMMER LUCILLE CHILD
3617 RICARDO AVE APT 1
REDDING, CA 96002-2653
Phone number: 530-722-1114
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Mailing Address
SUMMER LUCILLE CHILD
3617 RICARDO AVE APT 1
REDDING, CA 96002-2653
Phone number: 530-722-1114
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