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1255998696
EDGARDO MEDINA-COLON
LOS ANGELES, CA
NPI
1255998696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 114327)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2019-05-21
Last Update Date
2023-04-26
Business Address
EDGARDO MEDINA-COLON LCSW
1900 GRACE AVE APT 23
LOS ANGELES, CA 90068-3831
Phone number: 310-993-3821
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Mailing Address
EDGARDO MEDINA-COLON LCSW
1900 GRACE AVE APT 23
LOS ANGELES, CA 90068-3831
Phone number:
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