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1386033819
KASEY MICHAEL TENNIS
SANTA BARBARA, CA
NPI
1386033819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-01-21
Last Update Date
2015-01-26
Business Address
Mr. KASEY MICHAEL TENNIS
133 E HALEY ST
SANTA BARBARA, CA 93101-2330
Phone number: 805-564-6057
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Mailing Address
Mr. KASEY MICHAEL TENNIS
133 E HALEY ST
SANTA BARBARA, CA 93101-2330
Phone number: 805-564-6057
Copy
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