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1912216656
ELISE DE LA CRUZ
CHICO, CA
NPI
1912216656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-09-29
Last Update Date
2010-09-29
Business Address
Ms. ELISE DE LA CRUZ
564 RIO LINDO AVE SUITE 204
CHICO, CA 95926-1852
Phone number: 530-879-3950
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Mailing Address
Ms. ELISE DE LA CRUZ
P.O. BOX 1043
HAMILTON CITY, CA 95951
Phone number: 530-826-3558
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