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1548659584
MARISA VILLARREAL
PACOIMA, CA
NPI
1548659584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 134183)
Enumeration Date
2015-01-14
Last Update Date
2015-01-14
Business Address
-- MARISA VILLARREAL catc 134183
11643 GLENOAKS BLVD
PACOIMA, CA 91331-1050
Phone number: 818-897-2609
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Mailing Address
-- MARISA VILLARREAL catc 134183
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
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