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1821645102
CARLA MAE LOUISE MACK
EL CAJON, CA
NPI
1821645102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
CARLA MAE LOUISE MACK MS
1679 E MAIN ST STE 102
EL CAJON, CA 92021-5212
Phone number: 619-441-1907
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Mailing Address
CARLA MAE LOUISE MACK MS
1679 E MAIN ST STE 102
EL CAJON, CA 92021-5212
Phone number: 619-441-1907
Copy
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