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1265561732
MADELINE T. DE ANTONIO
ENCINO, CA
NPI
1265561732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS2426)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
-- MADELINE T. DE ANTONIO L.C.S.W.
16255 VENTURA BLVD SUITE 806
ENCINO, CA 91436-2302
Phone number: 818-789-3187
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Mailing Address
-- MADELINE T. DE ANTONIO L.C.S.W.
4924 BALBOA BLVD #481
ENCINO, CA 91316-3402
Phone number: 818-789-3187
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