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1821797325
THOMAS MANGAN MCDONOUGH
SANTA CRUZ, CA
NPI
1821797325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-02-23
Last Update Date
2023-02-23
Business Address
THOMAS MANGAN MCDONOUGH
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
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Mailing Address
THOMAS MANGAN MCDONOUGH
138 YOUNGER WAY
SANTA CRUZ, CA 95060-5022
Phone number: 609-468-5438
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