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1508316241
FREDDIE COLLINS
TARZANA, CA
NPI
1508316241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C23051214)
Enumeration Date
2016-10-05
Last Update Date
2016-10-05
Business Address
-- FREDDIE COLLINS
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
-- FREDDIE COLLINS
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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