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1871193144
CHARLES LUCKY SONG
LONG BEACH, CA
NPI
1871193144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-10-27
Last Update Date
2020-11-20
Business Address
CHARLES LUCKY SONG
2390 PACIFIC AVE
LONG BEACH, CA 90806-3051
Phone number: 562-988-1863
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Mailing Address
CHARLES LUCKY SONG
2390 PACIFIC AVE
LONG BEACH, CA 90806-3051
Phone number: 562-988-1863
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