DANIEL LAMAR LEATHERWOOD

ANAHEIM, CA
NPI1861609851
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- DANIEL LAMAR LEATHERWOOD
225 SOUTH KNOTT AVENUE 38
ANAHEIM, CA 92804
Phone number: 714-220-9610
Mailing Address
-- DANIEL LAMAR LEATHERWOOD
225 SOUTH KNOTT AVENUE 38
ANAHEIM, CA 92804
Phone number: 714-220-9610
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