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1770600686
THOMAS R. CHURCH
THOUSAND OAKS, CA
NPI
1770600686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CADDE-CATC Intern)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- THOMAS R. CHURCH CADDE-CATC Intern
1125 BUSINESS CENTER CIR SUITE B
THOUSAND OAKS, CA 91320-1184
Phone number: 805-375-9100
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Mailing Address
-- THOMAS R. CHURCH CADDE-CATC Intern
1125 BUSINESS CENTER CIR SUITE B
THOUSAND OAKS, CA 91320-1184
Phone number: 805-375-9100
Copy
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