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1215259130
ROBERTA E. MIRISCH
ENCINO, CA
NPI
1215259130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 16615)
Enumeration Date
2010-02-19
Last Update Date
2010-10-26
Business Address
Ms. ROBERTA E. MIRISCH L.C.S.W.
16311 VENTURA BLVD STE 1120
ENCINO, CA 91436-4356
Phone number: 818-783-4140
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Mailing Address
Ms. ROBERTA E. MIRISCH L.C.S.W.
16311 VENTURA BLVD STE 1120
ENCINO, CA 91436-4356
Phone number: 818-783-4140
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