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1093296873
IVANA SOPHIA LOPEZTIANA
SOUTH PASADENA, CA
NPI
1093296873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA LPCC12115)
Enumeration Date
2018-08-28
Last Update Date
2023-10-02
Business Address
IVANA SOPHIA LOPEZTIANA
149 PASADENA AVE
SOUTH PASADENA, CA 91030-2947
Phone number: 323-543-2800
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Mailing Address
IVANA SOPHIA LOPEZTIANA
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-543-2800
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