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1033622444
SHANNON MEHDIAN
TARZANA, CA
NPI
1033622444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12341-R)
Enumeration Date
2017-11-07
Last Update Date
2017-11-07
Business Address
Miss SHANNON MEHDIAN
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 310-422-8991
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Mailing Address
Miss SHANNON MEHDIAN
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 310-422-8991
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