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1033774161
MICHAEL ALAN WATSON
ANTIOCH, CA
NPI
1033774161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1345420419)
Enumeration Date
2019-05-03
Last Update Date
2019-05-03
Business Address
MR. MICHAEL ALAN WATSON RADT
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-978-2873
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Mailing Address
MR. MICHAEL ALAN WATSON RADT
9 W 15TH ST
ANTIOCH, CA 94509-2317
Phone number: 510-932-9387
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