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1316099575
THEODORAH EMILLIA MCKENNA
MONTEREY PARK, CA
NPI
1316099575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 19083)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
-- THEODORAH EMILLIA MCKENNA LCSW
201 CENTRE PLAZA DR
MONTEREY PARK, CA 91754-2142
Phone number: 323-526-6578
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Mailing Address
-- THEODORAH EMILLIA MCKENNA LCSW
14307 FOOTHILL BLVD UNIT B8
SYLMAR, CA 91342-7568
Phone number: 818-833-0019
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