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1427624931
PHILLIP UNDERWOOD
LOS ANGELES, CA
NPI
1427624931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1424880421)
Enumeration Date
2021-06-03
Last Update Date
2021-06-08
Business Address
PHILLIP UNDERWOOD
515 COLUMBIA AVE # 200
LOS ANGELES, CA 90017-1209
Phone number: 213-249-9388
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Mailing Address
PHILLIP UNDERWOOD
515 COLUMBIA AVE # 200
LOS ANGELES, CA 90017-1209
Phone number: 213-249-9388
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