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1306196613
LYSA K MAYBRUCK-HARRISON
LOS ANGELES, CA
NPI
1306196613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-09-13
Last Update Date
2020-08-18
Business Address
Mrs. LYSA K MAYBRUCK-HARRISON CADC-II
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200
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Mailing Address
Mrs. LYSA K MAYBRUCK-HARRISON CADC-II
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9031
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