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1114122009
MARA ROSHAL
LOS ANGELES, CA
NPI
1114122009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS14499)
Enumeration Date
2007-06-19
Last Update Date
2007-07-08
Business Address
-- MARA ROSHAL LCSW
5105 W GOLDLEAF CIR
LOS ANGELES, CA 90056-1269
Phone number: 323-298-3190
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Mailing Address
-- MARA ROSHAL LCSW
5105 W GOLDLEAF CIR
LOS ANGELES, CA 90056-1269
Phone number: 323-298-3190
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