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1891836136
CARTER EVANS CHILDS
INDIO, CA
NPI
1891836136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-02-09
Last Update Date
2010-09-02
Business Address
MR. CARTER EVANS CHILDS RAS-C0509020847
83912 AVENUE 45 SUITE #9
INDIO, CA 92201-3338
Phone number: 760-347-0754
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Mailing Address
MR. CARTER EVANS CHILDS RAS-C0509020847
PO BOX 355
LA QUINTA, CA 92247-0355
Phone number: 760-347-0754
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