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1053540971
CRYSTAL LAURA CHAIDEZ
MONTEBELLO, CA
NPI
1053540971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA 64031)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2009-07-13
Last Update Date
2022-10-26
Business Address
CRYSTAL LAURA CHAIDEZ
215 E AVENIDA DE LA MERCED RM 103A
MONTEBELLO, CA 90640-2752
Phone number: 323-887-5324
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Mailing Address
CRYSTAL LAURA CHAIDEZ
215 E AVENIDA DE LA MERCED RM 103A
MONTEBELLO, CA 90640-2752
Phone number: 323-887-5324
Copy
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