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1043494867
TINA FUKUCHI
LOS ANGELES, CA
NPI
1043494867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW 22233)
Enumeration Date
2007-12-28
Last Update Date
2007-12-28
Business Address
-- TINA FUKUCHI
1505 N EDGEMONT ST
LOS ANGELES, CA 90027-5209
Phone number: 323-783-4371
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Mailing Address
-- TINA FUKUCHI
2617 BUTLER AVE
LOS ANGELES, CA 90064-3711
Phone number:
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