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1205684891
CHARLES DENNIS
LOS ANGELES, CA
NPI
1205684891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 151120)
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
CHARLES DENNIS
4804 S VAN NESS AVE
LOS ANGELES, CA 90062-2148
Phone number: 323-204-1398
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Mailing Address
CHARLES DENNIS
4804 S VAN NESS AVE
LOS ANGELES, CA 90062-2148
Phone number: 323-204-1398
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