JERRY LEE COUCH

COMPTON, CA
NPI1316182769
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2008-12-12
Last Update Date2013-05-17
Business Address
Mr. JERRY LEE COUCH
1303 W WALNUT PKWY
COMPTON, CA 90220-5030
Phone number: 310-868-4379
Mailing Address
Mr. JERRY LEE COUCH
4832 11TH AVE
LOS ANGELES, CA 90043-4845
Phone number:
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