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1639943533
MICHEAL FORD
FREMONT, CA
NPI
1639943533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1533341023)
Enumeration Date
2023-11-10
Last Update Date
2023-11-10
Business Address
MICHEAL FORD
3155 KEARNEY ST
FREMONT, CA 94538-2268
Phone number: 800-846-1652
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Mailing Address
MICHEAL FORD
71 DRIFTWOOD CIR
BAY POINT, CA 94565-1378
Phone number: 510-517-0244
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