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1003115437
ELLISON MCQUEEN
LONG BEACH, CA
NPI
1003115437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-03-24
Last Update Date
2011-03-24
Business Address
Mr. ELLISON MCQUEEN Counselor
2703 E 7TH ST
LONG BEACH, CA 90804-4708
Phone number: 562-433-0454
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Mailing Address
Mr. ELLISON MCQUEEN Counselor
2703 E 7TH ST
LONG BEACH, CA 90804-4708
Phone number: 562-433-0454
Copy
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