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1043752215
LISA YOUNGWORTH
TORRANCE, CA
NPI
1043752215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-11-04
Last Update Date
2016-11-04
Business Address
Ms. LISA YOUNGWORTH RADT-1
1334 POST AVE
TORRANCE, CA 90501-2620
Phone number: 310-328-1460
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Mailing Address
Ms. LISA YOUNGWORTH RADT-1
506 S BROADWAY APT A
REDONDO BEACH, CA 90277-4229
Phone number: 310-897-0540
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