WAIVERLY THOMAS

LONG BEACH, CA
NPI1174830699
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-09-03
Last Update Date2010-09-03
Business Address
-- WAIVERLY THOMAS
625 W 8TH ST
LONG BEACH, CA 90813-4003
Phone number: 323-667-5061
Mailing Address
-- WAIVERLY THOMAS
625 W 8TH ST
LONG BEACH, CA 90813-4003
Phone number: 323-667-5061
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