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1043854060
BILL THOMAS DAILEY
LAKE ELSINORE, CA
NPI
1043854060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2019-11-01
Last Update Date
2021-08-10
Business Address
BILL THOMAS DAILEY RADT-I
31760 CASINO DR STE 200
LAKE ELSINORE, CA 92530-2313
Phone number: 951-471-4649
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Mailing Address
BILL THOMAS DAILEY RADT-I
1370 S STATE ST STE A
SAN JACINTO, CA 92583-4922
Phone number: 951-791-3350
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