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1386290401
ANGELA DENISE BIVENS
LOS ANGELES, CA
NPI
1386290401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-14
Last Update Date
2019-08-14
Business Address
ANGELA DENISE BIVENS
2100 S SEPULVEDA BLVD STE 105
LOS ANGELES, CA 90025-5734
Phone number: 310-644-3659
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Mailing Address
ANGELA DENISE BIVENS
2100 S SEPULVEDA BLVD STE 105
LOS ANGELES, CA 90025-5734
Phone number:
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