KIMBERLY MICHONNE CLARK-HOLLOWAY

HAWTHORNE, CA
NPI1952827628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1891014)
Enumeration Date2017-08-15
Last Update Date2022-07-21
Business Address
Ms. KIMBERLY MICHONNE CLARK-HOLLOWAY
12917 CERISE AVE
HAWTHORNE, CA 90250-5520
Phone number: 310-675-4431
Mailing Address
Ms. KIMBERLY MICHONNE CLARK-HOLLOWAY
12917 CERISE
HAWTHORNE, CA 90250
Phone number: 310-675-4431
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