MERCEDES CUSICK

TARZANA, CA
NPI1417288218
Former NameMERCEDES BROYLES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-01-19
Last Update Date2010-01-19
Business Address
Mrs. MERCEDES CUSICK
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-966-1051
Mailing Address
Mrs. MERCEDES CUSICK
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051