EDWARD DEAN LARK

LONG BEACH, CA
NPI1528150802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies374700000X Technician
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
Mr. EDWARD DEAN LARK
5901 E 7TH ST MENTAL HEALTH SUBSTANCE ABUSE #006-116A
LONG BEACH, CA 90822-5201
Phone number: 562-826-5610
Mailing Address
Mr. EDWARD DEAN LARK
5901 E 7TH ST MENTAL HEALTH SUBSTANCE ABUSE #006-116A
LONG BEACH, CA 90822-5201
Phone number: 562-826-5610
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