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1851986699
TODD WALL
COLTON, CA
NPI
1851986699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A016670315)
Enumeration Date
2021-03-03
Last Update Date
2021-03-03
Business Address
-- TODD WALL CADC II
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-514-1958
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Mailing Address
-- TODD WALL CADC II
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-514-1958
Copy
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