Individual
THEODORE PHILLIP SPAZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2370 W CARSON ST STE 136, TORRANCE, CA 90501-7114
(310) 328-0780
(310) 347-4114
Mailing address
2370 W CARSON ST STE 136, TORRANCE, CA 90501-7114
(310) 328-0780
(310) 347-4114
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
IMF80931
CA
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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