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1023560778
CARMEN STANFORD
LOS ANGELES, CA
NPI
1023560778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-28
Last Update Date
2016-10-28
Business Address
-- CARMEN STANFORD
5220 W WASHINGTON BLVD
LOS ANGELES, CA 90016-1331
Phone number: 323-983-9186
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Mailing Address
-- CARMEN STANFORD
5220 W WASHINGTON BLVD
LOS ANGELES, CA 90016-1331
Phone number:
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