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1053599621
ALEKSEY LISITSA
LOS ANGELES, CA
NPI
1053599621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-02-06
Last Update Date
2008-02-06
Business Address
-- ALEKSEY LISITSA
5311 WESTER AVE
LOS ANGELES, CA 90062
Phone number: 323-299-2111
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Mailing Address
-- ALEKSEY LISITSA
5311 WESTER AVE
LOS ANGELES, CA 90062
Phone number:
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