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1457903106
TYANNA SMITH
LANCASTER, CA
NPI
1457903106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 92811)
Enumeration Date
2019-07-12
Last Update Date
2019-11-11
Business Address
TYANNA SMITH
349A E AVENUE K6
LANCASTER, CA 93535-4548
Phone number: 661-723-4260
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Mailing Address
TYANNA SMITH
8019 COMPTON AVE
LOS ANGELES, CA 90001-3409
Phone number: 323-586-7333
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