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Individual

DAISY DSUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
849 E 6TH ST, LOS ANGELES, CA 90021-1026
(213) 623-8446
(213) 896-1880
Mailing address
849 E 6TH ST, LOS ANGELES, CA 90021-1026
(213) 623-8446
(213) 896-1880

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6971
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/20/2018
Last updated
09/30/2019
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