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1144475013
KANITA DANIELLE BOURNE
LOS ANGELES, CA
NPI
1144475013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 28312)
Enumeration Date
2008-11-19
Last Update Date
2016-07-19
Business Address
-- KANITA DANIELLE BOURNE LCSW
1720 E 120TH ST
LOS ANGELES, CA 90059-3052
Phone number: 310-668-3928
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Mailing Address
-- KANITA DANIELLE BOURNE LCSW
1720 E 120TH ST
LOS ANGELES, CA 90059-3052
Phone number: 310-668-3928
Copy
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