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1194108621
KRISTINE CHAVEZ
LOS ANGELES, CA
NPI
1194108621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA LCSW66323)
Enumeration Date
2015-07-01
Last Update Date
2015-07-01
Business Address
-- KRISTINE CHAVEZ
2330 BEVERLY BLVD
LOS ANGELES, CA 90057-2220
Phone number: 213-381-0541
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Mailing Address
-- KRISTINE CHAVEZ
2330 BEVERLY BLVD
LOS ANGELES, CA 90057-2220
Phone number:
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