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1316674005
RETH SAM PROM
LONG BEACH, CA
NPI
1316674005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
RETH SAM PROM
2501 ATLANTIC AVE
LONG BEACH, CA 90806-2708
Phone number: 562-424-6105
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Mailing Address
RETH SAM PROM
2501 ATLANTIC AVE
LONG BEACH, CA 90806-2708
Phone number: 562-424-6105
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