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1548462195
DAHLIA NISSAN RUSS
LOS ANGELES, CA
NPI
1548462195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LSC18046)
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
Dr. DAHLIA NISSAN RUSS Psy.D., LCSW
1800 FAIRBURN AVE SUITE 210
LOS ANGELES, CA 90025-5958
Phone number: 310-234-9115
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Mailing Address
Dr. DAHLIA NISSAN RUSS Psy.D., LCSW
1800 FAIRBURN AVE SUITE 210
LOS ANGELES, CA 90025-5958
Phone number: 310-234-9115
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