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1700379096
TERRENCE SWANSON
VENTURA, CA
NPI
1700379096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA AII059410618)
Enumeration Date
2018-06-11
Last Update Date
2018-06-14
Business Address
TERRENCE SWANSON CADC II
125 W HARRISON AVE APT A
VENTURA, CA 93001
Phone number: 805-653-2596
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Mailing Address
TERRENCE SWANSON CADC II
125 W HARRISON AVE APT A
VENTURA, CA 93001-5805
Phone number: 805-653-2596
Copy
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