LILLIE MAE CLARKE

LOS ANGELES, CA
NPI1598400848
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  CI34780122)
Additional Taxonomies172V00000X Community Health Worker
225400000X Rehabilitation Practitioner
(Licence: CA  CI34780122)
Enumeration Date2022-05-02
Last Update Date2023-07-25
Business Address
LILLIE MAE CLARKE
5603 S CENTRAL AVE
LOS ANGELES, CA 90011-5967
Phone number: 323-432-3700
Mailing Address
LILLIE MAE CLARKE
5603 S CENTRAL AVE
LOS ANGELES, CA 90011-5967
Phone number: 323-432-3700