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1255519369
RENISE LE BLANC
LOS ANGELES, CA
NPI
1255519369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-31
Last Update Date
2008-01-31
Business Address
-- RENISE LE BLANC
1704 W MANCHESTER AVE STE 103
LOS ANGELES, CA 90047-3056
Phone number: 323-751-4778
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Mailing Address
-- RENISE LE BLANC
1704 W MANCHESTER AVE STE 103
LOS ANGELES, CA 90047-3056
Phone number: 323-751-4778
Copy
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