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1376189381
MARK HAROLD JAMES HAYWARD
REDDING, CA
NPI
1376189381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-11-25
Last Update Date
2019-11-25
Business Address
Mr. MARK HAROLD JAMES HAYWARD
1147 HARTNELL AVE
REDDING, CA 96002-2113
Phone number: 530-222-7233
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Mailing Address
Mr. MARK HAROLD JAMES HAYWARD
1147 HARTNELL AVE
REDDING, CA 96002-2113
Phone number: 530-222-7233
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