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1073123113
MICHELLE RENEE REYNOLDS
LOS ANGELES, CA
NPI
1073123113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1367151019)
Enumeration Date
2020-08-04
Last Update Date
2020-08-04
Business Address
Mr. MICHELLE RENEE REYNOLDS
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 213-483-9201
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Mailing Address
Mr. MICHELLE RENEE REYNOLDS
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 213-483-9201
Copy
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