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1295269108
MARIA LUISA PENA
GARDENA, CA
NPI
1295269108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CADC11A012600315)
Enumeration Date
2017-04-18
Last Update Date
2017-04-18
Business Address
-- MARIA LUISA PENA CADC II A012600315
13931 VAN NESS AVE
GARDENA, CA 90249-2941
Phone number: 310-768-8018
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Mailing Address
-- MARIA LUISA PENA CADC II A012600315
3650 GARNET ST APT 8
TORRANCE, CA 90503-3362
Phone number: 310-849-6997
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