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1760502819
CAROL MARIA BOLANOS
CANOGA PARK, CA
NPI
1760502819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
Ms. CAROL MARIA BOLANOS
7246 REMMET AVE
CANOGA PARK, CA 91303-1531
Phone number: 818-206-0360
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Mailing Address
Ms. CAROL MARIA BOLANOS
11258 OTSEGO ST
N HOLLYWOOD, CA 91601-3729
Phone number: 707-853-3001
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