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1861840241
TIMOTHY DEVITT
LOS ANGELES, CA
NPI
1861840241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-05-26
Last Update Date
2016-05-26
Business Address
-- TIMOTHY DEVITT CADC 1
7941 1/2 BLACKBURN AVE
LOS ANGELES, CA 90048-4417
Phone number: 310-625-6776
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Mailing Address
-- TIMOTHY DEVITT CADC 1
7941 1/2 BLACKBURN AVE
LOS ANGELES, CA 90048-4417
Phone number: 310-625-6776
Copy
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