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1902488588
FREDERICK RICHARD FORD
WEST HOLLYWOOD, CA
NPI
1902488588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-04-23
Last Update Date
2023-08-11
Business Address
FREDERICK RICHARD FORD
8739 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90069-4507
Phone number: 310-623-1477
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Mailing Address
FREDERICK RICHARD FORD
8739 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90069-4507
Phone number: 310-623-1477
Copy
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