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1417665167
THEODORE MARK RICHARDS
DESERT HOT SPRINGS, CA
NPI
1417665167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14285)
Enumeration Date
2022-11-11
Last Update Date
2022-11-11
Business Address
THEODORE MARK RICHARDS
7885 ANNANDALE AVE
DESERT HOT SPRINGS, CA 92240-1419
Phone number: 760-329-2924
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Mailing Address
THEODORE MARK RICHARDS
7885 ANNANDALE AVE
DESERT HOT SPRINGS, CA 92240-1419
Phone number: 760-329-2924
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