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1982437893
TRACY LYNN MARSHALL
LAGUNA HILLS, CA
NPI
1982437893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA B00003420624)
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
TRACY LYNN MARSHALL CADC III
23161 MILL CREEK DR STE 315
LAGUNA HILLS, CA 92653-7907
Phone number: 949-415-4204
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Mailing Address
TRACY LYNN MARSHALL CADC III
44 PASEO VERDE
SAN CLEMENTE, CA 92673-6500
Phone number: 402-218-9287
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