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1104003359
DANA R LA VERNE
VAN NUYS, CA
NPI
1104003359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-29
Last Update Date
2008-01-29
Business Address
Ms. DANA R LA VERNE B.A. Social Work
14558 SYLVAN ST
VAN NUYS, CA 91411-2324
Phone number: 818-787-4151
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Mailing Address
Ms. DANA R LA VERNE B.A. Social Work
6839 NEWCASTLE AVE
RESEDA, CA 91335-4617
Phone number: 818-344-0696
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