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1255739322
LISA GLASS DAVIS
INGLEWOOD, CA
NPI
1255739322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS17613)
Enumeration Date
2014-12-05
Last Update Date
2014-12-05
Business Address
Dr. LISA GLASS DAVIS PhD
323 N PRAIRIE AVE
INGLEWOOD, CA 90301-4502
Phone number: 310-846-2100
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Mailing Address
Dr. LISA GLASS DAVIS PhD
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-210-6954
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