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1235337874
VIVIAN MARIE LONGORIA
LOS ANGELES, CA
NPI
1235337874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 15439)
Enumeration Date
2007-07-05
Last Update Date
2007-07-08
Business Address
-- VIVIAN MARIE LONGORIA LCSW
3540 WILSHIRE BLVD SUITE 1207
LOS ANGELES, CA 90010-2307
Phone number: 213-365-2182
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Mailing Address
-- VIVIAN MARIE LONGORIA LCSW
12102 RAMONA AVE
HAWTHORNE, CA 90250-3628
Phone number: 310-679-6040
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