STEPHANIE CARLSON

DIAMOND SPRINGS, CA
NPI1750806949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  168651)
Enumeration Date2017-08-08
Last Update Date2022-07-21
Business Address
STEPHANIE CARLSON
768 PLEASANT VALLEY RD
DIAMOND SPRINGS, CA 95619-9260
Phone number: 530-621-6130
Mailing Address
STEPHANIE CARLSON
768 PLEASANT VALLEY RD
DIAMOND SPRINGS, CA 95619-9260
Phone number: 530-621-6130
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