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1609057520
DEZELLA MARIE BANKS
TARZANA, CA
NPI
1609057520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1503650423)
Enumeration Date
2007-11-19
Last Update Date
2024-01-02
Business Address
DEZELLA MARIE BANKS
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
DEZELLA MARIE BANKS
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
Copy
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