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1740477975
LISA MANN
INGLEWOOD, CA
NPI
1740477975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-02
Last Update Date
2007-10-02
Business Address
-- LISA MANN
4450 W CENTURY BLVD
INGLEWOOD, CA 90304-1504
Phone number: 310-671-0555
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Mailing Address
-- LISA MANN
26460 SUMMIT CIR
SANTA CLARITA, CA 91350-2991
Phone number:
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