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1326629361
LIDIA HACK
LOS ANGELES, CA
NPI
1326629361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-04-20
Last Update Date
2021-04-20
Business Address
LIDIA HACK
1135 S ALVARADO ST
LOS ANGELES, CA 90006-4100
Phone number: 213-381-8534
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Mailing Address
LIDIA HACK
10156 COMMERCE AVE
TUJUNGA, CA 91042-2313
Phone number:
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