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1366809915
TIA BRISCO
NORTHRIDGE, CA
NPI
1366809915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 104550)
Enumeration Date
2016-01-26
Last Update Date
2019-07-22
Business Address
TIA BRISCO IMFT
9700 RESEDA BLVD STE 208
NORTHRIDGE, CA 91324
Phone number: 661-675-8756
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Mailing Address
TIA BRISCO IMFT
9700 RESEDA BLVD STE 208
NORTHRIDGE, CA 91324-5504
Phone number: 661-675-8756
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