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1194368050
THEODORE LYNDSAY CHISM
SANTA BARBARA, CA
NPI
1194368050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-10-23
Last Update Date
2019-10-23
Business Address
THEODORE LYNDSAY CHISM
106 JUANA MARIA AVE
SANTA BARBARA, CA 93103-2714
Phone number: 808-657-8671
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Mailing Address
THEODORE LYNDSAY CHISM
617 GARDEN ST
SANTA BARBARA, CA 93101-1664
Phone number: 808-657-8671
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