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1508410259
MICHAEL ALAN LAZARUS
SPRING VALLEY, CA
NPI
1508410259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
Mr. MICHAEL ALAN LAZARUS CATC-II, CAODC-A
525 GRAND AVE
SPRING VALLEY, CA 91977-5933
Phone number: 619-488-7612
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Mailing Address
Mr. MICHAEL ALAN LAZARUS CATC-II, CAODC-A
525 GRAND AVE
SPRING VALLEY, CA 91977-5933
Phone number: 619-488-7612
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