QUENISHA MADDOX

SANTA MONICA, CA
NPI1912421884
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  S1404231415)
Enumeration Date2017-08-01
Last Update Date2017-08-01
Business Address
QUENISHA MADDOX
844 PICO BLVD
SANTA MONICA, CA 90405-1325
Phone number: 310-314-6200
Mailing Address
QUENISHA MADDOX
844 PICO BLVD
SANTA MONICA, CA 90405-1325
Phone number: 310-314-6200
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