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1801105861
TAKIA GREEN
LOS ANGELES, CA
NPI
1801105861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-09-24
Last Update Date
2010-09-24
Business Address
-- TAKIA GREEN
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018-3230
Phone number: 323-731-4981
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Mailing Address
-- TAKIA GREEN
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018-3230
Phone number: 323-731-4981
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