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1407089972
ALINA ANUCCAVECH MIKOLAITIS
SAN PEDRO, CA
NPI
1407089972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 92513)
Enumeration Date
2009-08-31
Last Update Date
2023-03-24
Business Address
Mrs. ALINA ANUCCAVECH MIKOLAITIS LCSW
916 N WESTERN AVE STE 205
SAN PEDRO, CA 90732-2435
Phone number: 310-957-2099
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Mailing Address
Mrs. ALINA ANUCCAVECH MIKOLAITIS LCSW
29504 WHITLEY COLLINS DR
RANCHO PALOS VERDES, CA 90275-4947
Phone number: 323-426-4342
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