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1215051883
IRA KRUSKOL
LOS ANGELES, CA
NPI
1215051883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 5821)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Mr. IRA KRUSKOL LCSW
7120 FRANKLIN AVE
LOS ANGELES, CA 90046-3002
Phone number: 323-876-0550
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Mailing Address
Mr. IRA KRUSKOL LCSW
6500 FARRALONE AVE
WOODLAND HILLS, CA 91303-2411
Phone number:
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