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1124571252
SAMMY EDWARDS
VAN NUYS, CA
NPI
1124571252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-07-25
Last Update Date
2016-07-25
Business Address
-- SAMMY EDWARDS
6166 VESPER AVE
VAN NUYS, CA 91411-2851
Phone number: 818-997-0414
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Mailing Address
-- SAMMY EDWARDS
6166 VESPER AVE
VAN NUYS, CA 91411-2851
Phone number: 818-997-0414
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