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1922715325
MARISA THERESE ELIZARRARAZ
LOS ANGELES, CA
NPI
1922715325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-11-04
Last Update Date
2022-11-04
Business Address
MARISA THERESE ELIZARRARAZ
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200
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Mailing Address
MARISA THERESE ELIZARRARAZ
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200
Copy
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