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1730740895
MICHAEL STANISLAVSKY
LOS ANGELES, CA
NPI
1730740895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1333430119)
Enumeration Date
2019-06-27
Last Update Date
2019-06-27
Business Address
MICHAEL STANISLAVSKY RADT
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036-4712
Phone number: 323-965-1365
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Mailing Address
MICHAEL STANISLAVSKY RADT
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036-4712
Phone number: 323-965-1365
Copy
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