CORY HOWARD MACY

SAN PEDRO, CA
NPI1144838962
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1397840720)
Enumeration Date2020-07-17
Last Update Date2020-07-17
Business Address
CORY HOWARD MACY
270 W 14TH ST
SAN PEDRO, CA 90731-4396
Phone number: 310-519-8723
Mailing Address
CORY HOWARD MACY
270 W 14TH ST
SAN PEDRO, CA 90731-4396
Phone number: 310-519-8723
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