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1427170042
CHRISTINE KEIKO OTA-CLEMONS
CARSON, CA
NPI
1427170042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA IMF66490)
Enumeration Date
2007-04-04
Last Update Date
2013-06-25
Business Address
Mrs. CHRISTINE KEIKO OTA-CLEMONS MS MFTI
460 E CARSON PLAZA DR
CARSON, CA 90746-3228
Phone number: 310-523-9500
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Mailing Address
Mrs. CHRISTINE KEIKO OTA-CLEMONS MS MFTI
4724 W 12TH ST
LOS ANGELES, CA 90019-3003
Phone number: 213-663-9870
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