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1336355817
GRACE GONZALEZ
PANORAMA CITY, CA
NPI
1336355817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-14
Last Update Date
2007-07-09
Business Address
-- GRACE GONZALEZ
9140 VAN NUYS BLVD STE 211
PANORAMA CITY, CA 91402-6764
Phone number: 818-895-2206
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Mailing Address
-- GRACE GONZALEZ
8902 WOODMAN AVE
ARLETA, CA 91331-6401
Phone number: 818-830-7133
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