Individual
MISS CAROLINE LAEZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2049 SKYLINE DR, LEMON GROVE, CA 91945-4221
(619) 466-6736
Mailing address
550 OXFORD ST APT 1207, CHULA VISTA, CA 91911-2752
(619) 422-6704
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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