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1104052729
MALCOLM ANDREW EWING
OAKLAND, CA
NPI
1104052729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-06-10
Last Update Date
2009-06-10
Business Address
-- MALCOLM ANDREW EWING CAADAC (intern)
2577 SAN PABLO AVE
OAKLAND, CA 94612-1159
Phone number: 510-446-7100
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Mailing Address
-- MALCOLM ANDREW EWING CAADAC (intern)
2551SAN PABLO AVENUE
OAKLAND, CA 94612
Phone number: 510-446-7100
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