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1376309674
MICHAEL JEROME WOMACK
LOS ANGELES, CA
NPI
1376309674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-02-23
Last Update Date
2024-02-23
Business Address
MICHAEL JEROME WOMACK
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 213-483-9201
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Mailing Address
MICHAEL JEROME WOMACK
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 213-483-9201
Copy
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