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1174359079
COLLIN ROBERT TRAVASSOS
LOS ANGELES, CA
NPI
1174359079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT148668)
Enumeration Date
2024-09-09
Last Update Date
2024-09-09
Business Address
COLLIN ROBERT TRAVASSOS
1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033-1064
Phone number: 310-221-6336
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Mailing Address
COLLIN ROBERT TRAVASSOS
1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033-1064
Phone number: 310-221-6336
Copy
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