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1811670821
SHAWN BRIAN HENRY
LOS ANGELES, CA
NPI
1811670821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1510090623)
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
SHAWN BRIAN HENRY RADT
12021 WILMINGTON AVE STE 301
LOS ANGELES, CA 90059-3019
Phone number: 424-454-6081
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Mailing Address
SHAWN BRIAN HENRY RADT
12021 WILMINGTON AVE STE 301
LOS ANGELES, CA 90059-3019
Phone number: 424-454-6081
Copy
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