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1033379128
JACQUELINE WRIGHT
LOS ANGELES, CA
NPI
1033379128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-06-11
Last Update Date
2008-06-11
Business Address
-- JACQUELINE WRIGHT
5151 S WESTERN AVE
LOS ANGELES, CA 90062-2333
Phone number: 323-294-5051
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Mailing Address
-- JACQUELINE WRIGHT
1134 S WESTERN AVE APT 111
LOS ANGELES, CA 90006-2366
Phone number: 323-674-5508
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