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1528401718
TIMOTHY ALAN ROLLER
EUREKA, CA
NPI
1528401718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 122266 III)
Enumeration Date
2013-04-08
Last Update Date
2013-04-08
Business Address
-- TIMOTHY ALAN ROLLER BSW, CATC III
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
-- TIMOTHY ALAN ROLLER BSW, CATC III
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Copy
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