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1790088763
RICHARD WINDOM
LOS ANGELES, CA
NPI
1790088763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-12-14
Last Update Date
2010-12-14
Business Address
-- RICHARD WINDOM
1361 EXPOSITION BLVD.
LOS ANGELES, CA 90018
Phone number: 323-216-2252
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Mailing Address
-- RICHARD WINDOM
1361 EXPOSITION BLVD.
LOS ANGELES, CA 90018
Phone number: 323-216-2252
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