LARRY BERNARD BOGLIN

COMPTON, CA
NPI1063644763
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  081793)
Enumeration Date2009-08-13
Last Update Date2009-08-13
Business Address
Mr. LARRY BERNARD BOGLIN
369 W COMPTON BLVD
COMPTON, CA 90220-3110
Phone number: 310-603-6555
Mailing Address
Mr. LARRY BERNARD BOGLIN
369 W. COMPTON BLVD
COMPTON, CA 90220
Phone number: 310-603-6555