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1295202422
STEPHANIE ROSE VAN
PASADENA, CA
NPI
1295202422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 85796)
Enumeration Date
2018-10-25
Last Update Date
2018-10-25
Business Address
STEPHANIE ROSE VAN LCSW
440 S MARENGO AVE
PASADENA, CA 91101-3113
Phone number: 213-986-6229
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Mailing Address
STEPHANIE ROSE VAN LCSW
PO BOX 250443
GLENDALE, CA 91225-0443
Phone number: 213-986-6229
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