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1821879818
LACY E TAYLOR
PASADENA, CA
NPI
1821879818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1541490124)
Enumeration Date
2023-10-06
Last Update Date
2024-03-06
Business Address
LACY E TAYLOR
1230 N MARENGO AVE
PASADENA, CA 91103-2217
Phone number: 626-797-1124
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Mailing Address
LACY E TAYLOR
1230 N MARENGO AVE
PASADENA, CA 91103-2217
Phone number: 626-797-1124
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