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1790498350
ASHLEY SOUTHARD
SANTA ANA, CA
NPI
1790498350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1498310223)
Enumeration Date
2022-12-28
Last Update Date
2023-03-06
Business Address
ASHLEY SOUTHARD
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 714-486-0940
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Mailing Address
ASHLEY SOUTHARD
786 LA DOCENA LN
CORONA, CA 92879-8534
Phone number: 951-367-4367
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