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1114416427
VENEILL ELENA LATHAM
VAN NUYS, CA
NPI
1114416427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 104860)
Enumeration Date
2018-05-02
Last Update Date
2018-05-02
Business Address
VENEILL ELENA LATHAM
14000 VALERIO ST
VAN NUYS, CA 91405-2533
Phone number: 747-998-5627
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Mailing Address
VENEILL ELENA LATHAM
7349 BAIRD AVE
RESEDA, CA 91335-3066
Phone number: 747-998-5627
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