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1104148808
JOSANA M MACIAS
LOS ANGELES, CA
NPI
1104148808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-02-22
Last Update Date
2011-02-10
Business Address
-- JOSANA M MACIAS
3125 N BROADWAY
LOS ANGELES, CA 90031-2703
Phone number: 323-222-4591
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Mailing Address
-- JOSANA M MACIAS
3125 N BROADWAY
LOS ANGELES, CA 90031-2703
Phone number: 323-222-4591
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