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1700029329
TANYA LEE FADELY
LOS ANGELES, CA
NPI
1700029329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-04-13
Last Update Date
2009-04-13
Business Address
-- TANYA LEE FADELY
5311 S WESTERN AVE
LOS ANGELES, CA 90062-2703
Phone number: 323-299-2111
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Mailing Address
-- TANYA LEE FADELY
5311 S WESTERN AVE
LOS ANGELES, CA 90062-2703
Phone number: 323-299-2111
Copy
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