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1881998409
LANCE THOMAS CARR
CAMPBELL, CA
NPI
1881998409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-12-23
Last Update Date
2010-12-23
Business Address
-- LANCE THOMAS CARR
251 LLEWELLYN AVE
CAMPBELL, CA 95008-1940
Phone number: 408-628-5504
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Mailing Address
-- LANCE THOMAS CARR
41262 ROBERTS AVE APT 73
FREMONT, CA 94538-4929
Phone number: 510-579-2630
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