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1215514682
MARSHALL SMALLEY
LOS ANGELES, CA
NPI
1215514682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
MARSHALL SMALLEY
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200
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Mailing Address
MARSHALL SMALLEY
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200
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