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1063152254
CHRISTINE ELIZABETH MIRANDA
TARZANA, CA
NPI
1063152254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12916)
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
CHRISTINE ELIZABETH MIRANDA
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
CHRISTINE ELIZABETH MIRANDA
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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