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1437295847
IRENE STEPHAN
HAWTHORNE, CA
NPI
1437295847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA VN201638)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- IRENE STEPHAN
2409 W 117TH ST
HAWTHORNE, CA 90250-1998
Phone number: 310-463-2535
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Mailing Address
-- IRENE STEPHAN
2409 W 117TH ST
HAWTHORNE, CA 90250-1998
Phone number: 310-463-2535
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