FREDERICK RUEL MACK

LOS ANGELES, CA
NPI1558994418
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-02-19
Last Update Date2020-02-19
Business Address
FREDERICK RUEL MACK
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-664-8969
Mailing Address
FREDERICK RUEL MACK
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-664-8969
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