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1063127793
AMY LISICKI
INGLEWOOD, CA
NPI
1063127793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14560)
Enumeration Date
2023-01-17
Last Update Date
2023-01-17
Business Address
AMY LISICKI
520 N LA BREA AVE
INGLEWOOD, CA 90302-3049
Phone number: 323-294-4932
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Mailing Address
AMY LISICKI
925 CENTINELA AVE APT 5
INGLEWOOD, CA 90302-1579
Phone number: 310-988-6179
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