LARRY MALONE POWELL

SACRAMENTO, CA
NPI1427498336
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RW7223)
Enumeration Date2013-06-25
Last Update Date2013-06-25
Business Address
Mr. LARRY MALONE POWELL
4343 WILLIAMSBOURGH DRIVE
SACRAMENTO, CA 95823
Phone number: 916-395-3552
Mailing Address
Mr. LARRY MALONE POWELL
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
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