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Individual

ALLISON GILLESPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051
(818) 936-0115
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051
(818) 936-0115

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/17/2010
Last updated
09/17/2010
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