DEMARCUS CLARK

LOS ANGELES, CA
NPI1497918122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-07-02
Last Update Date2008-07-02
Business Address
-- DEMARCUS CLARK
5311 S WESTERN AVE
LOS ANGELES, CA 90062-2703
Phone number: 323-299-2111
Mailing Address
-- DEMARCUS CLARK
5311 S WESTERN AVE
LOS ANGELES, CA 90062-2703
Phone number: 323-299-2111