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Individual

ANNE MARIE REGINA LORENZINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000A EMELINE AVE, SANTA CRUZ, CA 95060-1900
(831) 425-0112
Mailing address
1000A EMELINE AVE, SANTA CRUZ, CA 95060-1900
(831) 425-0112

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1267300917
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4496
CA
Enumeration date
09/28/2017
Last updated
09/28/2017
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