DARRELL ROMAINE WOODS

GARDENA, CA
NPI1932231883
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  01-037577)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
-- DARRELL ROMAINE WOODS CAS
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9031
Mailing Address
-- DARRELL ROMAINE WOODS CAS
15519 CRENSHAW BLVD.
GARDENA, CA 90248
Phone number: 310-679-9031
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