MARTIN TEFORLACK

INGLEWOOD, CA
NPI1356569073
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-04-20
Last Update Date2007-07-08
Business Address
-- MARTIN TEFORLACK
730 N EUCALYPTUS AVE #19
INGLEWOOD, CA 90302-2263
Phone number: 213-300-2985
Mailing Address
-- MARTIN TEFORLACK
730 N EUCALYPTUS AVE #19
INGLEWOOD, CA 90302-2263
Phone number: 213-300-2985
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