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1679137020
LAUREN MAKALE OWEN
SAN DIEGO, CA
NPI
1679137020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1317080718)
Enumeration Date
2019-04-30
Last Update Date
2019-04-30
Business Address
-- LAUREN MAKALE OWEN RADT
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105-1412
Phone number: 619-282-7274
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Mailing Address
-- LAUREN MAKALE OWEN RADT
1081 CAMINO DEL RIO S STE 129
SAN DIEGO, CA 92108-3544
Phone number:
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