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1134376882
AMALIA MASTRODOMENICO
VAN NUYS, CA
NPI
1134376882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-08-25
Last Update Date
2008-08-25
Business Address
Mrs. AMALIA MASTRODOMENICO AODC
6580 VAN NUYS BLVD
VAN NUYS, CA 91401-1426
Phone number: 818-908-1740
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Mailing Address
Mrs. AMALIA MASTRODOMENICO AODC
6254 TAMPA AVE
TARZANA, CA 91335-6643
Phone number: 818-593-9589
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