LANCE WAYNE WALCOTT

RIVERSIDE, CA
NPI1942890470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-01-19
Last Update Date2021-01-19
Business Address
LANCE WAYNE WALCOTT counselor
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-780-2541
Mailing Address
LANCE WAYNE WALCOTT counselor
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-780-2541
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