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1992936686
KLARISSA MAE CASTRO
TARZANA, CA
NPI
1992936686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-07-29
Last Update Date
2009-07-29
Business Address
Ms. KLARISSA MAE CASTRO
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 800-996-1051
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Mailing Address
Ms. KLARISSA MAE CASTRO
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 800-996-1051
Copy
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