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1922580851
ALFRED S MACIAS
PASADENA, CA
NPI
1922580851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-06
Last Update Date
2018-09-06
Business Address
Mr. ALFRED S MACIAS
1230 N MARENGO AVE
PASADENA, CA 91103-2217
Phone number: 626-797-1124
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Mailing Address
Mr. ALFRED S MACIAS
4106 ELROVIA AVE
EL MONTE, CA 91732-2151
Phone number: 323-494-6225
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