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1467203844
JOLENE BASTAS
LOS ANGELES, CA
NPI
1467203844
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Former Name
JOLENE AMBROSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA 92824)
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
JOLENE BASTAS ACSW
611 S KINGSLEY DR
LOS ANGELES, CA 90005-2319
Phone number: 213-201-1600
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Mailing Address
JOLENE BASTAS ACSW
6206 MOUNT ANGELUS PL
LOS ANGELES, CA 90042-3528
Phone number: 347-276-2200
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