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1811673668
DANIEL JOHN CRUMMEY
FAIRFIELD, CA
NPI
1811673668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15669)
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
DANIEL JOHN CRUMMEY SUDRC
355 TRAVIS BLVD
FAIRFIELD, CA 94533-3803
Phone number: 707-759-5739
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Mailing Address
DANIEL JOHN CRUMMEY SUDRC
609 JEFFERSON ST
FAIRFIELD, CA 94533-6293
Phone number: 707-399-9190
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