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1760091466
CANDALARIA RODRIGUEZ
HAWTHORNE, CA
NPI
1760091466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1357390819)
Enumeration Date
2020-07-28
Last Update Date
2020-07-28
Business Address
CANDALARIA RODRIGUEZ
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3317
Phone number: 323-754-2816
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Mailing Address
CANDALARIA RODRIGUEZ
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3317
Phone number: 323-754-2816
Copy
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