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1710153630
AUDREY TISCARENO
LOS ANGELES, CA
NPI
1710153630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-04-30
Last Update Date
2008-04-30
Business Address
-- AUDREY TISCARENO
1137 W 6TH ST
LOS ANGELES, CA 90017-1828
Phone number: 213-250-1005
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Mailing Address
-- AUDREY TISCARENO
1137 W 6TH ST
LOS ANGELES, CA 90017-1828
Phone number: 213-250-1005
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