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1336744853
DENISE PONCE-GAVARRETE
LOS ANGELES, CA
NPI
1336744853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 98688)
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
DENISE PONCE-GAVARRETE
6762 LEXINGTON AVE
LOS ANGELES, CA 90038-1217
Phone number: 323-380-7590
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Mailing Address
DENISE PONCE-GAVARRETE
6762 LEXINGTON AVE
LOS ANGELES, CA 90038-1217
Phone number: 323-380-7590
Copy
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