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1740448851
MARIA LAM NISSLY
GLENDORA, CA
NPI
1740448851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2008-05-26
Last Update Date
2015-08-13
Business Address
Mrs. MARIA LAM NISSLY LCSW
409 S GLENDORA AVE
GLENDORA, CA 91741-6216
Phone number: 323-683-3983
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Mailing Address
Mrs. MARIA LAM NISSLY LCSW
409 S GLENDORA AVE
GLENDORA, CA 91741-6216
Phone number: 323-683-3983
Copy
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