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1225864671
ELENA PARK
ENCINO, CA
NPI
1225864671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 118414)
Enumeration Date
2024-09-11
Last Update Date
2024-09-11
Business Address
ELENA PARK
5535 BALBOA BLVD STE 202
ENCINO, CA 91316-1541
Phone number: 818-646-7190
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Mailing Address
ELENA PARK
7225 CRESCENT PARK W APT 140
PLAYA VISTA, CA 90094-2724
Phone number: 562-561-8640
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