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1285958330
THEODORE L YCOY
LOS ANGELES, CA
NPI
1285958330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-03-18
Last Update Date
2010-03-18
Business Address
-- THEODORE L YCOY
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018-3230
Phone number: 323-731-4981
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Mailing Address
-- THEODORE L YCOY
6076 LINDEN AVE
LONG BEACH, CA 90805-3003
Phone number: 323-428-7494
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