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1932834488
DESIREE DAVIS
TARZANA, CA
NPI
1932834488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1416870121)
Enumeration Date
2022-07-19
Last Update Date
2022-07-19
Business Address
DESIREE DAVIS RADT I
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
DESIREE DAVIS RADT I
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
Copy
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