CODY SHORE

LOS ANGELES, CA
NPI1740781012
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-02-22
Last Update Date2018-02-22
Business Address
CODY SHORE
909 W TEMPLE ST
LOS ANGELES, CA 90012-3981
Phone number: 872-226-7447
Mailing Address
CODY SHORE
909 W TEMPLE ST
LOS ANGELES, CA 90012-3981
Phone number:
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