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1003211236
ELISABETH MARTIN
VAN NUYS, CA
NPI
1003211236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-10-30
Last Update Date
2014-10-30
Business Address
-- ELISABETH MARTIN
6265 SEPULVEDA BLVD
VAN NUYS, CA 91411-1114
Phone number: 818-779-0555
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Mailing Address
-- ELISABETH MARTIN
6265 SEPULVEDA BLVD
VAN NUYS, CA 91411-1114
Phone number: 818-779-0555
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