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1316319007
MICHAEL MILLARD
HAWTHORNE, CA
NPI
1316319007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-10-21
Last Update Date
2015-10-21
Business Address
-- MICHAEL MILLARD catc1
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3317
Phone number: 323-754-2816
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Mailing Address
-- MICHAEL MILLARD catc1
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3317
Phone number: 323-754-2816
Copy
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