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1558949222
STEPHEN GONZALEZ
TARZANA, CA
NPI
1558949222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-04-01
Last Update Date
2021-04-01
Business Address
STEPHEN GONZALEZ
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
STEPHEN GONZALEZ
701 S KINGSLEY DR APT 304
LOS ANGELES, CA 90005-4333
Phone number: 661-755-3295
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