ILSE MASIELLE BRAVO

GLENDALE, CA
NPI1356787253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  IMF80442)
Enumeration Date2013-05-17
Last Update Date2014-06-05
Business Address
-- ILSE MASIELLE BRAVO
237 N CENTRAL AVE
GLENDALE, CA 91203-2531
Phone number: 818-547-9544
Mailing Address
-- ILSE MASIELLE BRAVO
12351 OSBORNE ST #26
PACOIMA, CA 91331-2059
Phone number:
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