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1508519174
DESIREE MICHELLE ROSE
RESEDA, CA
NPI
1508519174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-02-02
Last Update Date
2022-02-02
Business Address
DESIREE MICHELLE ROSE RADT
7232 CANBY AVE STE 456
RESEDA, CA 91335-3006
Phone number: 818-705-5561
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Mailing Address
DESIREE MICHELLE ROSE RADT
7232 CANBY AVE STE 456
RESEDA, CA 91335-3006
Phone number: 818-705-5561
Copy
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