PHILLIP MADDOX

LOS ANGELES, CA
NPI1285322305
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-04-26
Last Update Date2023-04-26
Business Address
PHILLIP MADDOX
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-222-1440
Mailing Address
PHILLIP MADDOX
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-222-1440
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