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1760519862
NICKI NAKESSA GRISWOLD
LA PUENTE, CA
NPI
1760519862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA G0409281511)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
Mrs. NICKI NAKESSA GRISWOLD
15229 AMAR RD
LA PUENTE, CA 91744-2066
Phone number: 626-855-5090
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Mailing Address
Mrs. NICKI NAKESSA GRISWOLD
2399 WHITE ST
PASADENA, CA 91107-3265
Phone number: 626-796-8747
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