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1407008311
MICHELIAH ISLAND
LOS ANGELES, CA
NPI
1407008311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-10-22
Last Update Date
2008-10-22
Business Address
-- MICHELIAH ISLAND
3761 STOCKER ST
LOS ANGELES, CA 90008-5111
Phone number: 323-294-4261
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Mailing Address
-- MICHELIAH ISLAND
3761 STOCKER ST
LOS ANGELES, CA 90008-5111
Phone number:
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