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1720550874
JESSICA LARA
SANTA CLARITA, CA
NPI
1720550874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1328991118)
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
JESSICA LARA
22519 GARZOTA DR
SANTA CLARITA, CA 91350-2247
Phone number: 818-383-3201
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Mailing Address
JESSICA LARA
22519 GARZOTA DR
SANTA CLARITA, CA 91350-2247
Phone number: 818-383-3201
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