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1548926371
HEATHER M NISENBAUM
REDONDO BEACH, CA
NPI
1548926371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-11-16
Last Update Date
2021-11-16
Business Address
HEATHER M NISENBAUM
116 S CATALINA AVE STE 109
REDONDO BEACH, CA 90277-3388
Phone number: 855-284-7483
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Mailing Address
HEATHER M NISENBAUM
1000 JEFFERSON ST STE 2C
LYNCHBURG, VA 24504-1724
Phone number: 855-284-7483
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