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1821147679
DAISY CHEESEMAN
LOS ANGELES, CA
NPI
1821147679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
-- DAISY CHEESEMAN
2321 PONTIUS AVE
LOS ANGELES, CA 90064-1809
Phone number: 310-478-8066
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Mailing Address
-- DAISY CHEESEMAN
667 S DETROIT ST APT 309
LOS ANGELES, CA 90036-7128
Phone number:
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