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1235739905
MARIA ELENA ALICIA VALDIVIA FORTUNA
OAKLAND, CA
NPI
1235739905
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Professional Name
ELENA FORTUNA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 78883)
Enumeration Date
2020-10-30
Last Update Date
2020-10-30
Business Address
MARIA ELENA ALICIA VALDIVIA FORTUNA LCSW
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-326-5152
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Mailing Address
MARIA ELENA ALICIA VALDIVIA FORTUNA LCSW
PO BOX 22500
OAKLAND, CA 94609-5100
Phone number: 707-495-2116
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