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1770176653
TAVACKUS DAWSON
INGLEWOOD, CA
NPI
1770176653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-02-11
Last Update Date
2021-02-11
Business Address
TAVACKUS DAWSON
241 S MARKET ST
INGLEWOOD, CA 90301-2305
Phone number: 213-924-5275
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Mailing Address
TAVACKUS DAWSON
6258 S LABREA AVE
LOS ANGELES, CA 90056
Phone number: 213-924-5275
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