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1235757782
TITH TON
BERKELEY, CA
NPI
1235757782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 7279)
Enumeration Date
2020-07-10
Last Update Date
2020-07-10
Business Address
TITH TON CAODC
1835 ALLSTON WAY
BERKELEY, CA 94703-1764
Phone number: 510-666-9552
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Mailing Address
TITH TON CAODC
1835 ALLSTON WAY
BERKELEY, CA 94703-1764
Phone number: 510-666-9552
Copy
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