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1184194300
TYE MOSES KRIEGER
LEMON GROVE, CA
NPI
1184194300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-30
Last Update Date
2018-11-30
Business Address
Mr. TYE MOSES KRIEGER RADT1
2219 ODESSA CT
LEMON GROVE, CA 91945-3609
Phone number: 619-461-4871
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Mailing Address
Mr. TYE MOSES KRIEGER RADT1
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number:
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