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1881948321
CARROLINE ROSE GIBSON
SANTA ANA, CA
NPI
1881948321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 01119868)
Enumeration Date
2012-11-06
Last Update Date
2012-11-06
Business Address
-- CARROLINE ROSE GIBSON
2101 E 1ST ST
SANTA ANA, CA 92705-4007
Phone number: 714-542-3581
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Mailing Address
-- CARROLINE ROSE GIBSON
2101 E 1ST ST
SANTA ANA, CA 92705-4007
Phone number: 714-542-3581
Copy
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