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1972700946
SUSAN TRACEY MIGDALSKI
TARZANA, CA
NPI
1972700946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-07-02
Last Update Date
2007-07-08
Business Address
-- SUSAN TRACEY MIGDALSKI
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
-- SUSAN TRACEY MIGDALSKI
7522 SHIRLEY AVE
RESEDA, CA 91335-2448
Phone number: 818-585-8712
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