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1659117190
CARMEN LOU MIZERA
MODESTO, CA
NPI
1659117190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12855)
Enumeration Date
2024-07-03
Last Update Date
2024-07-31
Business Address
CARMEN LOU MIZERA
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 707-676-0539
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Mailing Address
CARMEN LOU MIZERA
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 707-676-0539
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