SELINA STAR BROCK

LOS ANGELES, CA
NPI1497039648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RW4272)
Enumeration Date2011-10-06
Last Update Date2011-10-06
Business Address
Ms. SELINA STAR BROCK
942 S ATLANTIC BLVD
LOS ANGELES, CA 90022-4004
Phone number: 323-263-9700
Mailing Address
Ms. SELINA STAR BROCK
3670 MAINE AVE
BALDWIN PARK, CA 91706-5231
Phone number: 626-322-7041
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