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1285984195
STEPHISHA WALTON
LOS ANGELES, CA
NPI
1285984195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-09-18
Last Update Date
2012-09-18
Business Address
-- STEPHISHA WALTON
4715 CRENSHAW BLVD
LOS ANGELES, CA 90043-1233
Phone number: 323-988-3744
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Mailing Address
-- STEPHISHA WALTON
4715 CRENSHAW BLVD
LOS ANGELES, CA 90043-1233
Phone number: 323-988-3744
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