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Individual
MR. TIMOTHY KEMP
Active
Individual
MR. TIMOTHY KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRC,ADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CRC
AL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADC-429
AL
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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