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1679124143
CASEY MOUTON
LOS ANGELES, CA
NPI
1679124143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-09-25
Last Update Date
2019-09-25
Business Address
CASEY MOUTON
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 818-416-3835
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Mailing Address
CASEY MOUTON
4440 IRVINE AVE
STUDIO CITY, CA 91602-1914
Phone number: 818-416-3835
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