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1912421884
QUENISHA MADDOX
SANTA MONICA, CA
NPI
1912421884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA S1404231415)
Enumeration Date
2017-08-01
Last Update Date
2017-08-01
Business Address
QUENISHA MADDOX
844 PICO BLVD
SANTA MONICA, CA 90405-1325
Phone number: 310-314-6200
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Mailing Address
QUENISHA MADDOX
844 PICO BLVD
SANTA MONICA, CA 90405-1325
Phone number: 310-314-6200
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