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1982823829
ELLIS L FARACI
CANOGA PARK, CA
NPI
1982823829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 359000)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
MS. ELLIS L FARACI RN
7246 REMMET AVE
CANOGA PARK, CA 91303-1531
Phone number: 818-206-0360
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Mailing Address
MS. ELLIS L FARACI RN
2235 LONSDALE ST
CAMARILLO, CA 93010-3315
Phone number: 805-484-3963
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