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1588133458
LETICIA TYE
TARZANA, CA
NPI
1588133458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-20
Last Update Date
2018-11-20
Business Address
LETICIA TYE
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
LETICIA TYE
26106 ALIZIA CANYON DR UNIT A
CALABASAS, CA 91302-2604
Phone number: 719-963-3531
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