Individual
CAREY ANN CZUCZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31764 CASINO DR STE 200, LAKE ELSINORE, CA 92530-2312
(951) 471-4649
(951) 471-4687
Mailing address
31764 CASINO DR STE 200, LAKE ELSINORE, CA 92530-2312
(951) 471-4649
(951) 471-4687
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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