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1952693475
ALLISON BIRD SVIDERGOL
LAKE ELSINORE, CA
NPI
1952693475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-05-03
Last Update Date
2011-05-03
Business Address
-- ALLISON BIRD SVIDERGOL
600 3RD ST STE C
LAKE ELSINORE, CA 92530-2748
Phone number: 951-674-5354
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Mailing Address
-- ALLISON BIRD SVIDERGOL
PO BOX 549
LAKE ELSINORE, CA 92531-0549
Phone number: 951-674-5354
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