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Organization

MELISSA SUSMAN

Active
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Organization

MELISSA SUSMAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA SUSMAN LMFT (MARRIAGE AND FAMILY THERAPIST)
(310) 291-1448
Entity
Organization

Contact information

Practice address
11340 W OLYMPIC BLVD, SUITE 266, LOS ANGELES, CA 90064-1608
(310) 291-1448
Mailing address
11340 W OLYMPIC BLVD, SUITE 266, LOS ANGELES, CA 90064-1608
(310) 291-1448

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT86889
CA

Other

Enumeration date
11/10/2016
Last updated
11/10/2016
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