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1780104661
KEVIN J FROST
TARZANA, CA
NPI
1780104661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 174875)
Enumeration Date
2017-06-22
Last Update Date
2017-06-22
Business Address
KEVIN J FROST CATC1
18646 OXNARD ST
TARZANA, CA 91356
Phone number: 818-996-1051
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Mailing Address
KEVIN J FROST CATC1
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number:
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