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1710101571
ELAINE MARIE CONNOR
PLACERVILLE, CA
NPI
1710101571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
-- ELAINE MARIE CONNOR MS
2808 MALLARD LN STE B
PLACERVILLE, CA 95667-8770
Phone number: 530-621-5107
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Mailing Address
-- ELAINE MARIE CONNOR MS
2808 MALLARD LN STE B
PLACERVILLE, CA 95667-8770
Phone number: 530-621-5107
Copy
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