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1194084426
VANESSA DE AVILA
NORTHRIDGE, CA
NPI
1194084426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IMF 71511)
Enumeration Date
2012-05-07
Last Update Date
2013-05-24
Business Address
-- VANESSA DE AVILA
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311
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Mailing Address
-- VANESSA DE AVILA
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number:
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