BERVICK DECULUS

LOS ANGELES, CA
NPI1790087435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-12-01
Last Update Date2010-12-01
Business Address
-- BERVICK DECULUS
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018-3230
Phone number: 323-731-4981
Mailing Address
-- BERVICK DECULUS
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018-3230
Phone number: 323-731-4981
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