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1174750244
MICHAEL W. JENNINGS
LONG BEACH, CA
NPI
1174750244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-06-16
Last Update Date
2009-06-16
Business Address
-- MICHAEL W. JENNINGS
3501 ATLANTIC AVE
LONG BEACH, CA 90807-4515
Phone number: 562-981-1501
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Mailing Address
-- MICHAEL W. JENNINGS
13741 FOOTHILL BLVD STE 240
SYLMAR, CA 91342-3152
Phone number: 818-833-9789
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