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1639813975
AUDREY WALTON THOMPSON
LONG BEACH, CA
NPI
1639813975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA r1463370322)
Enumeration Date
2022-04-22
Last Update Date
2022-04-22
Business Address
AUDREY WALTON THOMPSON
2101 MAGNOLIA AVE
LONG BEACH, CA 90806-4521
Phone number: 562-218-1868
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Mailing Address
AUDREY WALTON THOMPSON
2101 MAGNOLIA AVE
LONG BEACH, CA 90806-4521
Phone number: 562-218-1868
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