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1326744525
LISETTE MEDINA
LOS ANGELES, CA
NPI
1326744525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 137261)
Enumeration Date
2023-01-31
Last Update Date
2023-01-31
Business Address
LISETTE MEDINA AMFT
10801 NATIONAL BLVD STE 435
LOS ANGELES, CA 90064-4139
Phone number: 424-465-1953
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Mailing Address
LISETTE MEDINA AMFT
PO BOX 27111
LOS ANGELES, CA 90027-0111
Phone number: 424-465-1053
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