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1265735492
MICHAEL WIGDOR
NORTH HOLLYWOOD, CA
NPI
1265735492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-12-09
Last Update Date
2010-12-09
Business Address
-- MICHAEL WIGDOR
4928 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA 91601-4443
Phone number: 818-763-7919
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Mailing Address
-- MICHAEL WIGDOR
4928 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA 91601-4443
Phone number: 818-763-7919
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