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1861609851
DANIEL LAMAR LEATHERWOOD
ANAHEIM, CA
NPI
1861609851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- DANIEL LAMAR LEATHERWOOD
225 SOUTH KNOTT AVENUE 38
ANAHEIM, CA 92804
Phone number: 714-220-9610
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Mailing Address
-- DANIEL LAMAR LEATHERWOOD
225 SOUTH KNOTT AVENUE 38
ANAHEIM, CA 92804
Phone number: 714-220-9610
Copy
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