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1912450925
LORI BOTHAM
ANAHEIM, CA
NPI
1912450925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-07-26
Last Update Date
2016-07-26
Business Address
-- LORI BOTHAM
1700 W CERRITOS AVE UNIT 102
ANAHEIM, CA 92804-6176
Phone number: 714-992-4770
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Mailing Address
-- LORI BOTHAM
1700 W CERRITOS AVE UNIT 102
ANAHEIM, CA 92804-6176
Phone number:
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