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1407073471
STEPHEN MORAN GRAHAM
LOS ANGELES, CA
NPI
1407073471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 01-073125)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
-- STEPHEN MORAN GRAHAM
2120 W 8TH ST #330
LOS ANGELES, CA 90057-4019
Phone number: 213-365-9047
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Mailing Address
-- STEPHEN MORAN GRAHAM
2120 W 8TH ST #330
LOS ANGELES, CA 90057-4019
Phone number: 213-365-9047
Copy
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