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1144094806
SHADI SHOJUE RASTEGAR
TARZANA, CA
NPI
1144094806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1531131023)
Enumeration Date
2023-11-13
Last Update Date
2023-11-13
Business Address
SHADI SHOJUE RASTEGAR radt
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-0510
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Mailing Address
SHADI SHOJUE RASTEGAR radt
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-0510
Copy
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