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1285307769
MELISSA WISEMAN
LOS ANGELES, CA
NPI
1285307769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-07-29
Last Update Date
2021-07-29
Business Address
MELISSA WISEMAN
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 213-400-9794
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Mailing Address
MELISSA WISEMAN
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 213-400-9794
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