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Individual
DANIEL WILLIAM DEDMON
Active
Individual
DANIEL WILLIAM DEDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10337
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10337
RAS
CA
Enumeration date
12/30/2021
Last updated
12/30/2021
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