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1205968179
JENNA LYNN BALSAVAGE
VAN NUYS, CA
NPI
1205968179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 24350)
Enumeration Date
2007-03-09
Last Update Date
2011-03-30
Business Address
-- JENNA LYNN BALSAVAGE
14660 OXNARD ST
VAN NUYS, CA 91411-3119
Phone number: 818-907-4836
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Mailing Address
-- JENNA LYNN BALSAVAGE
5365 OSTROM AVE
ENCINO, CA 91316-2631
Phone number: 818-486-3401
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