WILLIE DANIEL DUCKSWORTH

LONG BEACH, CA
NPI1134470073
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-10-01
Last Update Date2012-10-01
Business Address
Mr. WILLIE DANIEL DUCKSWORTH
2008 PACIFIC AVE
LONG BEACH, CA 90806-4610
Phone number: 562-591-0011
Mailing Address
Mr. WILLIE DANIEL DUCKSWORTH
2008 PACIFIC AVE
LONG BEACH, CA 90806-4610
Phone number: 562-591-0011
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