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Individual

SAMUAL T. POLLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPT

Contact information

Practice address
2569 W WOODLAND DR, ANAHEIM, CA 92801-2608
(714) 226-9888
Mailing address
2013 CHARLE ST APT F, COSTA MESA, CA 92627-5508
(714) 226-9888

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
LPT 29433
CA

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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