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1023375268
MELWIDA BRYANT
LOS ANGELES, CA
NPI
1023375268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 190008FN)
Enumeration Date
2012-04-12
Last Update Date
2017-01-20
Business Address
-- MELWIDA BRYANT
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-664-8940
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Mailing Address
-- MELWIDA BRYANT
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-664-8940
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