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1104070614
MELISSA Y HOM
VAN NUYS, CA
NPI
1104070614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-11-11
Last Update Date
2008-11-11
Business Address
Mrs. MELISSA Y HOM
14558 SYVAN ST
VAN NUYS, CA 91411
Phone number: 818-787-4151
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Mailing Address
Mrs. MELISSA Y HOM
14558 SYVAN ST
VAN NUYS, CA 91411
Phone number: 818-787-4151
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