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1265636302
JULIE M CICILEO
LOS ANGELES, CA
NPI
1265636302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS14249)
Enumeration Date
2007-06-13
Last Update Date
2019-07-20
Business Address
JULIE M CICILEO LCSW
4760 W SUNSET BLVD
LOS ANGELES, CA 90027-6063
Phone number: 323-783-4011
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Mailing Address
JULIE M CICILEO LCSW
393 E WALNUT ST PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FL
PASADENA, CA 91188-0001
Phone number: 877-608-0044
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