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1124543236
ELIZABETH KELISHADI
VENICE, CA
NPI
1124543236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ACSW90477)
Enumeration Date
2017-08-09
Last Update Date
2019-12-12
Business Address
ELIZABETH KELISHADI
204 HAMPTON DR
VENICE, CA 90291-8633
Phone number: 310-396-6468
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Mailing Address
ELIZABETH KELISHADI
3045 SCHOLARSHIP
IRVINE, CA 92612-4420
Phone number:
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