LOLIS C TACKWOOD

LOS ANGELES, CA
NPI1457687212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-10-28
Last Update Date2009-10-28
Business Address
Mr. LOLIS C TACKWOOD
2500 WILSHIRE BLVD 922
LOS ANGELES, CA 90057-4303
Phone number: 213-487-9800
Mailing Address
Mr. LOLIS C TACKWOOD
2500 WILSHIRE BLVD 922
LOS ANGELES, CA 90057-4303
Phone number: 213-487-9800
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