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1982383428
KIZZY SUMO
LOS ANGELES, CA
NPI
1982383428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-07-12
Last Update Date
2023-09-05
Business Address
KIZZY SUMO
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036-4712
Phone number: 323-965-1365
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Mailing Address
KIZZY SUMO
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036-4712
Phone number: 323-965-1365
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