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MS. LAQUETTE ANDREWS RRW

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1639409287

Individual Registrant:
MS. LAQUETTE  ANDREWS RRW
Gender: F
Sole Proprietor

Location and contact information for practice:
245 N MURRAY ST  BANNING, CA 92220-5528 US
Tel: 951-849-8812  Fax: 951-755-8915

Contact information for business:
245 N MURRAY ST  BANNING, CA 92220-5528 US
Tel: --  Fax: --

Registration Information:
NPI: 1639409287
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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