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1114635091
ANA IRIS VIVAR
REDONDO BEACH, CA
NPI
1114635091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 100716)
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
ANA IRIS VIVAR LCSW
2512 ARTESIA BLVD STE 110
REDONDO BEACH, CA 90278-3265
Phone number: 323-230-0889
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Mailing Address
ANA IRIS VIVAR LCSW
341 W HILLSDALE ST
INGLEWOOD, CA 90302-1121
Phone number: 714-452-7426
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