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1912145905
HAYDEE LIZARRAGA
INGLEWOOD, CA
NPI
1912145905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA L0504111315)
Enumeration Date
2009-01-28
Last Update Date
2009-01-28
Business Address
-- HAYDEE LIZARRAGA
400 S LA BREA AVE
INGLEWOOD, CA 90301-2339
Phone number: 310-673-5882
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Mailing Address
-- HAYDEE LIZARRAGA
400 S LA BREA AVE
INGLEWOOD, CA 90301-2339
Phone number: 310-673-5882
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