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1033258801
LYDIA ANN BANKS
LOS ANGELES, CA
NPI
1033258801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-06
Last Update Date
2019-11-26
Business Address
Mrs. LYDIA ANN BANKS
3875 S WESTERN AVE
LOS ANGELES, CA 90062-1105
Phone number: 323-290-4354
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Mailing Address
Mrs. LYDIA ANN BANKS
3701 W 27TH ST
LOS ANGELES, CA 90018-2309
Phone number: 323-804-1435
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