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1508094574
MARLISE HERRON
LOS ANGELES, CA
NPI
1508094574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-06-29
Last Update Date
2009-06-29
Business Address
-- MARLISE HERRON
8729 S WESTERN AVE
LOS ANGELES, CA 90047-3327
Phone number: 323-750-9510
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Mailing Address
-- MARLISE HERRON
8729 S WESTERN AVE
LOS ANGELES, CA 90047-3327
Phone number:
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