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1801177480
MARK SCOTT MORMAN
CITRUS HEIGHTS, CA
NPI
1801177480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA M1009101124)
Enumeration Date
2011-09-08
Last Update Date
2011-09-08
Business Address
-- MARK SCOTT MORMAN RAS
6135 TERRELL DR
CITRUS HEIGHTS, CA 95621-5522
Phone number: 916-534-2136
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Mailing Address
-- MARK SCOTT MORMAN RAS
6135 TERRELL DR
CITRUS HEIGHTS, CA 95621-5522
Phone number: 916-534-2136
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