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1033718648
MARTIN EDWARD WALTERS
CONCORD, CA
NPI
1033718648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 7897)
Enumeration Date
2020-10-23
Last Update Date
2020-10-23
Business Address
MARTIN EDWARD WALTERS SUDCC1-7897
1470 CIVIC CT # 100
CONCORD, CA 94520-5290
Phone number: 925-849-6173
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Mailing Address
MARTIN EDWARD WALTERS SUDCC1-7897
1877 ELDERWOOD DR
CONCORD, CA 94519-1101
Phone number: 925-497-8502
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