LYNNGENIA CARRUTH

FAIRFIELD, CA
NPI1821456658
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-02-08
Last Update Date2016-02-08
Business Address
-- LYNNGENIA CARRUTH
1735 ENTERPRISE DR SUITE 105A
FAIRFIELD, CA 94533-6822
Phone number: 707-425-1799
Mailing Address
-- LYNNGENIA CARRUTH
1735 ENTERPRISE DR SUITE 105A
FAIRFIELD, CA 94533-6822
Phone number: 707-425-1799
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