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1801473228
NICOLE IRBY
PASADENA, CA
NPI
1801473228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1416050121)
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
NICOLE IRBY SUBSTANCE ABUSE
225 GRANDVIEW ST
PASADENA, CA 91104-2114
Phone number: 626-676-3690
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Mailing Address
NICOLE IRBY SUBSTANCE ABUSE
225 GRANDVIEW ST
PASADENA, CA 91104-2114
Phone number: 626-676-3690
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