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1134580343
ALFONSO GANDARA
LOS ANGELES, CA
NPI
1134580343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 94452)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2016-03-15
Last Update Date
2021-05-11
Business Address
ALFONSO GANDARA Lcsw
1720 E 120TH ST
LOS ANGELES, CA 90059-3052
Phone number: 213-598-0980
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Mailing Address
ALFONSO GANDARA Lcsw
1720 E 120TH ST
LOS ANGELES, CA 90059-3052
Phone number: 213-598-0980
Copy
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