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1811518145
LARISSA MARIE TODISCO
ENCINO, CA
NPI
1811518145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: CA 4592)
Enumeration Date
2020-04-28
Last Update Date
2020-04-28
Business Address
LARISSA MARIE TODISCO SLPA
16200 VENTURA BLVD
ENCINO, CA 91436-2205
Phone number: 818-941-3388
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Mailing Address
LARISSA MARIE TODISCO SLPA
24242 SPARROW ST
LAKE FOREST, CA 92630-1857
Phone number: 949-235-6588
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