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1386932507
LATASHA NICOLE RUSSELL
TARZANA, CA
NPI
1386932507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2011-07-21
Last Update Date
2013-06-25
Business Address
-- LATASHA NICOLE RUSSELL
18646 OXNARD ST TARZANA TREATMENT CENTERS
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
-- LATASHA NICOLE RUSSELL
18646 OXNARD ST TARZANA TREATMENT CENTERS
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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