EDWARD LEROY CRANDELL

ANTIOCH, CA
NPI1194956946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  9187)
Enumeration Date2009-07-28
Last Update Date2009-07-28
Business Address
-- EDWARD LEROY CRANDELL CAS
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-978-2873
Mailing Address
-- EDWARD LEROY CRANDELL CAS
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-978-2873
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