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1164695573
LEROY CLEMENS
CANOGA PARK, CA
NPI
1164695573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-04-07
Last Update Date
2008-04-07
Business Address
-- LEROY CLEMENS
7245 OWENSMOUTH AVE
CANOGA PARK, CA 91303-1530
Phone number: 818-593-4582
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Mailing Address
-- LEROY CLEMENS
8141 NAYNARD AVE.
WEST HILLS, CA 91304
Phone number: 562-713-1288
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