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1780802777
ANCA SUSAN
VAN NUYS, CA
NPI
1780802777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CAS regst. # 5108)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
Ms. ANCA SUSAN
14558 SYLVAN ST
VAN NUYS, CA 91411-2324
Phone number: 818-787-4151
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Mailing Address
Ms. ANCA SUSAN
4170 TUJUNGA AVE APT 3
STUDIO CITY, CA 91604-3083
Phone number: 818-506-6590
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