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1942497094
SYRUS GOODARZI
VAN NUYS, CA
NPI
1942497094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-02
Last Update Date
2007-10-02
Business Address
-- SYRUS GOODARZI
6265 SEPULVEDA BLVD SUITE 9
VAN NUYS, CA 91411-1114
Phone number: 818-779-0555
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Mailing Address
-- SYRUS GOODARZI
26460 SUMMIT CIR
SANTA CLARITA, CA 91350-2991
Phone number:
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