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1780993857
PENNY ANITA CARROLL
BARSTOW, CA
NPI
1780993857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 01-036484)
Enumeration Date
2010-10-06
Last Update Date
2022-03-16
Business Address
Mrs. PENNY ANITA CARROLL CADC II ,ICADC
1841 E MAIN ST
BARSTOW, CA 92311-3234
Phone number: 760-255-5700
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Mailing Address
Mrs. PENNY ANITA CARROLL CADC II ,ICADC
1841 E MAIN ST
BARSTOW, CA 92311-3234
Phone number: 607-255-5700
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