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1912553074
TY DIANA ROSS
SANTA ANA, CA
NPI
1912553074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-08-14
Last Update Date
2022-05-19
Business Address
TY DIANA ROSS MA, BA
1910 N BUSH ST
SANTA ANA, CA 92706-2816
Phone number: 714-361-7950
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Mailing Address
TY DIANA ROSS MA, BA
4920 AVALON BLVD
LOS ANGELES, CA 90011-4004
Phone number: 323-235-5035
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