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1245522416
MICHAEL CARROLL
LONG BEACH, CA
NPI
1245522416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RASi-C1011051345)
Enumeration Date
2011-05-06
Last Update Date
2011-05-06
Business Address
Mr. MICHAEL CARROLL
1601 E 10TH ST
LONG BEACH, CA 90813-5035
Phone number: 562-218-3639
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Mailing Address
Mr. MICHAEL CARROLL
1601 E 10TH ST
LONG BEACH, CA 90813-5035
Phone number: 562-218-3639
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