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1245007772
MICHAEL L. MCKEOWN
CLEARLAKE, CA
NPI
1245007772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-12-05
Last Update Date
2023-12-05
Business Address
MICHAEL L. MCKEOWN
3591 MOUNTAIN VIEW ST
CLEARLAKE, CA 95422-8234
Phone number: 707-337-9410
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Mailing Address
MICHAEL L. MCKEOWN
3591 MOUNTAIN VIEW ST
CLEARLAKE, CA 95422-8234
Phone number: 707-337-9410
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