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1164167045
CEDRICK MATTHEW TERRELL
TARZANA, CA
NPI
1164167045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-05-04
Last Update Date
2022-05-04
Business Address
CEDRICK MATTHEW TERRELL
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 540-500-3424
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Mailing Address
CEDRICK MATTHEW TERRELL
6502 VINELAND AVE
NORTH HOLLYWOOD, CA 91606-2769
Phone number: 540-500-3424
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