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1083224000
SETH D LIBERTY
VISALIA, CA
NPI
1083224000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA r1363000910)
Enumeration Date
2020-08-04
Last Update Date
2020-08-04
Business Address
SETH D LIBERTY RADT I
120 W SCHOOL AVE
VISALIA, CA 93291-4925
Phone number: 559-625-4100
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Mailing Address
SETH D LIBERTY RADT I
1019 W MYRTLE AVE
VISALIA, CA 93277-2415
Phone number: 559-300-5934
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