DANIEL PAUL BLACK

COVINA, CA
NPI1134550338
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Rw7051)
Enumeration Date2013-12-12
Last Update Date2013-12-12
Business Address
-- DANIEL PAUL BLACK RRW
540 S EREMLAND DR
COVINA, CA 91723-3186
Phone number: 626-966-1577
Mailing Address
-- DANIEL PAUL BLACK RRW
1415 S STONEMAN AVE APT 3
ALHAMBRA, CA 91801-5161
Phone number: 925-848-6937
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