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1427514017
JENNIFER SMALL
CANOGA PARK, CA
NPI
1427514017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-19
Last Update Date
2019-02-19
Business Address
JENNIFER SMALL
22110 ROSCOE BLVD STE 204
CANOGA PARK, CA 91304-3862
Phone number: 818-713-8700
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Mailing Address
JENNIFER SMALL
22110 ROSCOE BLVD STE 204
CANOGA PARK, CA 91304-3862
Phone number:
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