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1003199944
DAVID CASSIDY
CAMARILLO, CA
NPI
1003199944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-09-27
Last Update Date
2011-09-27
Business Address
-- DAVID CASSIDY
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
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Mailing Address
-- DAVID CASSIDY
261 N 5TH ST
PORT HUENEME, CA 93041-3003
Phone number: 805-383-3669
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