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1174046429
DONALD DOUGLAS
TARZANA, CA
NPI
1174046429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-07-19
Last Update Date
2022-03-23
Business Address
DONALD DOUGLAS
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-654-3845
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Mailing Address
DONALD DOUGLAS
18646 OXNARD ST. TARZANA CALIFORNIA
TARZANA, CA 91356
Phone number: 818-654-3845
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