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1265780449
VIRGINIA LILLIAN DURIVAGE
LONG BEACH, CA
NPI
1265780449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 27476)
Enumeration Date
2012-08-20
Last Update Date
2012-08-20
Business Address
Ms. VIRGINIA LILLIAN DURIVAGE LCSW
3424 E 4TH ST
LONG BEACH, CA 90814-1557
Phone number: 562-852-1044
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Mailing Address
Ms. VIRGINIA LILLIAN DURIVAGE LCSW
3424 E 4TH ST
LONG BEACH, CA 90814-1557
Phone number: 562-852-1044
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