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1740539238
LISA KENNEDY
NORTH HOLLYWOOD, CA
NPI
1740539238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CATC102413)
Enumeration Date
2012-08-30
Last Update Date
2012-08-30
Business Address
-- LISA KENNEDY CATC
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA 91601-2431
Phone number: 818-985-8323
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Mailing Address
-- LISA KENNEDY CATC
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA 91601-2431
Phone number: 818-985-8323
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