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1538752845
MICHELLE MARIE KING
CHATSWORTH, CA
NPI
1538752845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1408151020)
Enumeration Date
2021-02-17
Last Update Date
2021-02-17
Business Address
MICHELLE MARIE KING RADT
20946 DEVONSHIRE ST # 100
CHATSWORTH, CA 91311-8270
Phone number: 716-523-5657
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Mailing Address
MICHELLE MARIE KING RADT
29858 MULEDEER LN
CASTAIC, CA 91384-3590
Phone number: 716-523-5657
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