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1073866356
MIGUEL MACIAS TORRES
SANTA MONICA, CA
NPI
1073866356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 91413)
Enumeration Date
2012-10-24
Last Update Date
2024-01-08
Business Address
Mr. MIGUEL MACIAS TORRES LCSW
2001 SANTA MONICA BLVD
SANTA MONICA, CA 90404-2102
Phone number: 310-301-7396
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Mailing Address
Mr. MIGUEL MACIAS TORRES LCSW
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-5200
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