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1205958261
ANDREA CAROLYN BARDACK
WEST HOLLYWOOD, CA
NPI
1205958261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 21812)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
Ms. ANDREA CAROLYN BARDACK L.C.S.W.
8235 SANTA MONICA BLVD STE 400
WEST HOLLYWOOD, CA 90046-5970
Phone number: 310-433-0119
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Mailing Address
Ms. ANDREA CAROLYN BARDACK L.C.S.W.
PO BOX 18316
BEVERLY HILLS, CA 90209-4316
Phone number: 310-433-0119
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