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1902568504
LAUREN LEE STAFFORD
VISTA, CA
NPI
1902568504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 5415)
Enumeration Date
2021-10-11
Last Update Date
2023-08-22
Business Address
LAUREN LEE STAFFORD SUDCC II
1211 W VISTA WAY STE C
VISTA, CA 92083-6227
Phone number: 760-721-2781
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Mailing Address
LAUREN LEE STAFFORD SUDCC II
1211 W VISTA WAY STE C
VISTA, CA 92083-6227
Phone number: 760-721-2781
Copy
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