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1104159482
YELENA STASEYEVA
RESEDA, CA
NPI
1104159482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2009-09-17
Last Update Date
2009-09-17
Business Address
YELENA STASEYEVA
7101 BAIRD AVE
RESEDA, CA 91335-4150
Phone number: 818-342-5897
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Mailing Address
YELENA STASEYEVA
1232 N ORANGE GROVE AVE
WEST HOLLYWOOD, CA 90046-5328
Phone number: 323-650-4429
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