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1356128292
KEVIN FITZGEARLD SCOTT
LOS ANGELES, CA
NPI
1356128292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15999)
Enumeration Date
2023-09-13
Last Update Date
2023-09-13
Business Address
KEVIN FITZGEARLD SCOTT SUDRC
12021 WILMINGTON AVE STE 101
LOS ANGELES, CA 90059-3019
Phone number: 424-454-6001
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Mailing Address
KEVIN FITZGEARLD SCOTT SUDRC
844 W 60TH ST
LOS ANGELES, CA 90044-5513
Phone number: 323-385-7186
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