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1689135493
THOMAS LEO HIETTER
WEST HOLLYWOOD, CA
NPI
1689135493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-03-26
Last Update Date
2021-07-28
Business Address
THOMAS LEO HIETTER CADC I
8739 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90069-4507
Phone number: 310-623-1477
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Mailing Address
THOMAS LEO HIETTER CADC I
8739 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90069-4507
Phone number: 310-623-1477
Copy
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