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1043938160
JULIANA LARES COLLASO
SOUTH PASADENA, CA
NPI
1043938160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA 10391)
Enumeration Date
2022-08-15
Last Update Date
2022-08-15
Business Address
JULIANA LARES COLLASO
149 PASADENA AVE STE A
SOUTH PASADENA, CA 91030-3351
Phone number: 323-274-3065
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Mailing Address
JULIANA LARES COLLASO
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-543-2800
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