CARL DERRICK DAVIS

LOS ANGELES, CA
NPI1881764009
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-11-08
Last Update Date2011-09-12
Business Address
Mr. CARL DERRICK DAVIS
1605 EASTLAKE AVE
LOS ANGELES, CA 90033-1009
Phone number: 323-226-8826
Mailing Address
Mr. CARL DERRICK DAVIS
1475 WYATT CT
SAN DIEGO, CA 92154-4830
Phone number: 619-662-2095
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