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1972115814
LISA HIGGINS
COLTON, CA
NPI
1972115814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1401080820)
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
LISA HIGGINS
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-514-1958
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Mailing Address
LISA HIGGINS
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-514-1958
Copy
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