Individual
EDWARD LEE CARR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 S WESTLAKE AVE, LOS ANGELES, CA 90057-2906
(213) 483-9201
Mailing address
225 S GRAND AVE, LOS ANGELES, CA 90012-3762
(323) 243-6395
(213) 382-3601
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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