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1477283828
STEPHANIE LETICIA PORTILLO
COLTON, CA
NPI
1477283828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: CA 107200)
Enumeration Date
2022-06-16
Last Update Date
2024-04-03
Business Address
STEPHANIE LETICIA PORTILLO
1461 E COOLEY DR STE 100
COLTON, CA 92324-3921
Phone number: 877-854-9761
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Mailing Address
STEPHANIE LETICIA PORTILLO
25910 ACERO STE 160
MISSION VIEJO, CA 92691-2777
Phone number: 714-966-8650
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