DONNELL EUGENE WILLCOT

LOS ANGELES, CA
NPI1881096410
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  61466)
Enumeration Date2014-09-26
Last Update Date2014-09-26
Business Address
-- DONNELL EUGENE WILLCOT M.S.W., A.S.W
1801 LAKE SHORE AVE
LOS ANGELES, CA 90026-1715
Phone number: 323-580-0643
Mailing Address
-- DONNELL EUGENE WILLCOT M.S.W., A.S.W
13616 CERISE AVE APT. 5
HAWTHORNE, CA 90250-7791
Phone number: 310-691-9174
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