DYLAN GRACE

SAN PEDRO, CA
NPI1285107979
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1319240818)
Enumeration Date2019-01-06
Last Update Date2019-01-06
Business Address
Mr. DYLAN GRACE
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940
Mailing Address
Mr. DYLAN GRACE
PO BOX 328
SAN PEDRO, CA 90733-0328
Phone number: 310-514-4940
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