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1780409532
SIMONE HAVISWARD
LOS ANGELES, CA
NPI
1780409532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-11-18
Last Update Date
2024-11-18
Business Address
SIMONE HAVISWARD
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 310-570-2650
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Mailing Address
SIMONE HAVISWARD
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 310-570-2650
Copy
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