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1194149138
ROBERTA MICHAELIS
SAN PEDRO, CA
NPI
1194149138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-02-11
Last Update Date
2014-02-11
Business Address
-- ROBERTA MICHAELIS
599 W 9TH ST
SAN PEDRO, CA 90731-3105
Phone number: 310-831-0331
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Mailing Address
-- ROBERTA MICHAELIS
599 W 9TH ST
SAN PEDRO, CA 90731-3105
Phone number: 310-831-0331
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