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1508143140
JENNA DIVITO
LOS ANGELES, CA
NPI
1508143140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ASW61907)
Enumeration Date
2011-11-10
Last Update Date
2015-01-14
Business Address
-- JENNA DIVITO
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841
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Mailing Address
-- JENNA DIVITO
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841
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