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1790466878
MARY ANNE FORRESTER
SAN PEDRO, CA
NPI
1790466878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1391390520)
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
MARY ANNE FORRESTER
505 S PACIFIC AVE
SAN PEDRO, CA 90731-2656
Phone number: 310-833-7400
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Mailing Address
MARY ANNE FORRESTER
2033 S CRESCENT AVE
SAN PEDRO, CA 90731-5512
Phone number: 562-552-2494
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