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Individual

ANDREA DAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
23950 PRADO LN, COLTON, CA 92324-9734
(909) 514-1958
Mailing address
PO BOX 4027, CRESTLINE, CA 92325-4027

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1397920720
CA

Other

Enumeration date
10/30/2020
Last updated
11/12/2020
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