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1194569558
BLONDENA HARRIS CRAWFORD
WEST HOLLYWOOD, CA
NPI
1194569558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15258)
Enumeration Date
2024-06-20
Last Update Date
2024-06-20
Business Address
BLONDENA HARRIS CRAWFORD SUDRC, NCCPS, CESP
7235 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90046-6724
Phone number: 336-338-8065
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Mailing Address
BLONDENA HARRIS CRAWFORD SUDRC, NCCPS, CESP
400 VISTA CIR UNIT D
WINSTON SALEM, NC 27106-1987
Phone number: 336-823-4730
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