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1699809327
SUSAN LEE WHITE
COLTON, CA
NPI
1699809327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 0040950)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
Mrs. SUSAN LEE WHITE CATC-CAADE-040950
1076 SANTO ANTONIO DR SUITE B
COLTON, CA 92324-8103
Phone number: 909-433-9824
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Mailing Address
Mrs. SUSAN LEE WHITE CATC-CAADE-040950
901 E WASHINGTON ST 171
COLTON, CA 92324-8133
Phone number: 909-423-0471
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