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1467718122
WILBERT O. SCOTT
ANTIOCH, CA
NPI
1467718122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA S1111101239)
Enumeration Date
2012-04-06
Last Update Date
2012-04-06
Business Address
-- WILBERT O. SCOTT ras
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-978-2873
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Mailing Address
-- WILBERT O. SCOTT ras
2852 CASHEW ST
ANTIOCH, CA 94509-7347
Phone number: 510-381-0901
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