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1659638039
DIANA STAFFORD
COSTA MESA, CA
NPI
1659638039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C3791214)
Enumeration Date
2012-04-23
Last Update Date
2020-05-08
Business Address
DIANA STAFFORD Counselor
2212 PLACENTIA AVE
COSTA MESA, CA 92627-7500
Phone number: 949-646-2271
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Mailing Address
DIANA STAFFORD Counselor
2212 PLACENTIA AVE
COSTA MESA, CA 92627-7500
Phone number: 949-646-2271
Copy
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