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1881885283
SUSAN SHORT
YUCCA VALLEY, CA
NPI
1881885283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-08-09
Last Update Date
2007-08-09
Business Address
-- SUSAN SHORT
55475 SANTA FE TRL
YUCCA VALLEY, CA 92284-3117
Phone number: 760-365-3022
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Mailing Address
-- SUSAN SHORT
55475 SANTA FE TRL
YUCCA VALLEY, CA 92284-3117
Phone number: 760-365-3022
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