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1306483946
TARA MICHELLE BRISCO
LOS ANGELES, CA
NPI
1306483946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 77232)
Enumeration Date
2019-12-02
Last Update Date
2019-12-02
Business Address
TARA MICHELLE BRISCO LCSW
1906 N BEVERLY GLEN BLVD
LOS ANGELES, CA 90077-2714
Phone number: 310-383-1030
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Mailing Address
TARA MICHELLE BRISCO LCSW
1906 N BEVERLY GLEN BLVD
LOS ANGELES, CA 90077-2714
Phone number: 310-383-1030
Copy
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