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1285050237
WM CODY WHITE
VAN NUYS, CA
NPI
1285050237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-03-14
Last Update Date
2014-03-14
Business Address
-- WM CODY WHITE
15025 SATICOY ST #26
VAN NUYS, CA 91405-1110
Phone number: 949-212-0504
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Mailing Address
-- WM CODY WHITE
15025 SATICOY ST #26
VAN NUYS, CA 91405-1110
Phone number: 949-212-0504
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