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1871175380
EDWARD LOUIS WICHMANN
LANCASTER, CA
NPI
1871175380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1385270420)
Enumeration Date
2021-04-23
Last Update Date
2024-11-03
Business Address
EDWARD LOUIS WICHMANN
44421 10TH ST W
LANCASTER, CA 93534-3335
Phone number: 818-996-1051
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Mailing Address
EDWARD LOUIS WICHMANN
44421 10TH ST W
LANCASTER, CA 93534-3335
Phone number: 818-996-1051
Copy
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