GLORIA DEHAVEN CLARK

LONG BEACH, CA
NPI1992925960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-01
Last Update Date2007-07-09
Business Address
-- GLORIA DEHAVEN CLARK CADCA
3125 E 7TH ST
LONG BEACH, CA 90804-4932
Phone number: 562-987-5742
Mailing Address
-- GLORIA DEHAVEN CLARK CADCA
3125 E 7TH ST
LONG BEACH, CA 90804-4932
Phone number: 562-987-5742