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Individual

ALLEGRA MARISA HANAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
307 S CENTRAL AVE, LOS ANGELES, CA 90013-1709
(213) 372-5233
Mailing address
12070 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3771
(562) 777-7500

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/11/2024
Last updated
10/11/2024
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